A 76-year-old male complains of dysphagia for the last 3 months initially to solids then to liquids too with regurgitation of undigested food and episodes of choking at night. There is associated weight loss of 20kg. Barium swallow shows an irregular lower esophageal stricture. What is the most likely diagnosis?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Esophageal carcinoma
✓ مطابق للمصدر
gastric and UGI malignancies - Afnan.pdf · p. 10
An elderly man with progressive dysphagia (solids first, then liquids), marked weight loss and an irregular stricture on barium swallow has esophageal carcinoma until proven otherwise. A lower-third lesion fits adenocarcinoma, the most common type.
- Achalasia gives dysphagia to solids and liquids from the start with a smooth "bird's beak" narrowing, not an irregular stricture.
- Diffuse esophageal spasm causes intermittent dysphagia/chest pain; Plummer-Vinson is a post-cricoid web with iron-deficiency anemia.
- المصدر
- gastric and UGI malignancies - Afnan.pdf · p. 10
- المحاضرة
- Gastric and UGI malignancies · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 91 Q1