cirus
Forum Guru
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I wasn't able to copy it, but here goes
a pt presented with chest pain radiat to left shoulder, the resident got an ECG while he was giveng him nitrates, the ECG was normal & after he took nitrates, the pain went away..What do u think the diag is?
1. GERD
2. Achalasia
believe it or not the answer was GERD????
From what i understand,in Achalasia, nitrates help the LES to relax so the spasm would go away (same as in diffuse esophageal spasm), But i really can't get its role in GERD?? i thought may be a stricture, but then thats fibrous tissue, not muscle, so wouldn't relax on nitrates??
Can someone clarify this? Appreciate it
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| Justice
Forum Fanatic
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It's an obvious mistake, and you man are right... Relaxing sphincter with nitrates (as well as anticholinergic drugs, antispasmodic drugs, many anti-histamine and antiemetic drugs, tricyclic antidepressants, phenothiazine neuroleptics, calcium channel blockers) would aggravate GERD...
Where is this Q from???
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| khorshid
Forum Guru
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Justice is right , nitrates will worsen GERD obviously.
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| cirus
Forum Guru
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Kaplan??, i went back to search for it to post it, can't find it
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| Justice
Forum Fanatic
Topics: 106
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cirus wrote:Kaplan??, i went back to search for it to post it, can't find it
???
Is it from Q bank you have or from another source that claims that this is the Kaplan Q?
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| cirus
Forum Guru
Topics: 108
Posts: 740
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kaplan assessment.
I just downloaded it a couple of days ago, its good (more difficult than Kaplan Qbank, but easier than UW)..
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| doyoudig
Forum Guru
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hey where did u download it from and what version or year is it from?
can i get it
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| dr.wad
Forum Senior
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dear citrus.... i guess this is amistake.
insteed f GERD the correct answer is DES ( diffuse esophageal spasm ) which gives a picture similar to angina and treated by nitrates.
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| Drtweetie
Forum Elite
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it's surely a mistake, cirus,
agree w/ dr.wad. Diffuse esophageal spasm presents w/ symptoms similar to angina, non-contributory ECG and symptoms relieved w/ nitrates.
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| cirus
Forum Guru
Topics: 108
Posts: 740
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dr.wad wrote:
dear citrus.... i guess this is amistake.
insteed f GERD the correct answer is DES ( diffuse esophageal spasm ) which gives a picture similar to angina and treated by nitrates.
Yes, Thats what I know but since DES wasn't there, my second choice was Achalasia
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