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 desnond hayne, 54 years old retired cricketer  



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Author8 Posts
  #1

desnond hayne is a reitired cricketer from westinides. he is living his post-retired life happily partying with friends. he has been a smoker since his test cricket days. he complains to the doctor, doc, of late i am finding it difficult to swallow food. he points out to the lower end of sternum and tells that food is getting stuck there. he feels sad that of late he is not able to enjoy his beer too.as he has difficulty in swallowing that too.he has constipattion.he lost 30 pounds weight.what is the mostlikely diagnosis?
a.squamous cell carcinoma of oesophagus
b.adenocarcinoma of oesophagus
c.barret esophagus
d.gastroesophageal reflux
e.achalasia cordia
f.chagas disease




  #2

squamous cell carcinoma of esophagus


  #3

sorry try again


  #4

adenocarcinoma of esophagus


  #5

adenocarcinoma of oesophagus is classically more common in AFRICAN AMERICANS,(BLACKS) and males, and this is clearly portrayed in the clinical vignette. the symptomatology also is in chronological order. it just simply asks what is the diagnosis? it cant get simpler than this on USMLE!


  #6

Hi Vyseerx What is the difference between this question and the previous one ? Why do u say this is Adeno Ca while the previous one with similar fetures as SquqmousCa Please explain


  #7

Hi Vyseerx What is the difference between this question and the previous one ? Why do u say this is Adeno Ca while the previous one with similar fetures as SquqmousCa Please explain


  #8

plz vseeryx expolain it, squamous cell cxa is more commen in black and with smoking. while adeno ca is common in white, and with barret.





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