A 42 year old mechanic has a three month history of progressive dysphagia and marked weight loss
on Thursday, September 8, 2011
 Question Number 0667 Question: A 42 year old mechanic has a three month history of progressive dysphagia and marked weight loss. He describes a senstation of sticking of both solid food and liquids behind his sternum. He has effortless regurgitation after eating, particularly on bending forward or reclining. This is not associated with a sour taste. A plain chest X-ray demonatrates a high air/fluid level behind the heart. On endoscopy the esophagoscope can easily be passed into the stomach A likely diagnosis is a) Candida albicans b) pharyngeal pouch c) esophageal diverticulum d) achalasia e) rolling hiatus hernia
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Labels: MEDICINE, Sugery