177

Published on 03/05/2015 by admin

Filed under Gastroenterology and Hepatology

Last modified 03/05/2015

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CASE 177

image

History: A 47-year-old man with long-standing dysphagia and recurrent pneumonia has developed hemoptysis.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Achalasia

B. Scleroderma

C. Chagas’ disease

D. Esophageal spasm

E. Gastroesophageal junction cancer

2. What is the underlying pathophysiologic defect in achalasia?

A. Vagal denervation

B. Muscularis fibrosis

C. Anticholinergic effect

D. Ganglion cell deficiency

3. Which of the following conditions is associated with the highest risk of developing esophageal carcinoma?

A. Tylosis

B. Achalasia

C. Barrett’s disease

D. Head and neck cancers

4

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