CLINICAL ENCOUNTERS
DYSPHAGIA
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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For which of the following etiologies does dysphagia occur in 90% of patients?
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Esophageal stricture secondary to GERD
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Esophageal cancer
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Scleroderma/Systemic Sclerosis
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Achalasia
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Explanation:
Detailed explanation-1: -Patients with scleroderma of the esophagus typically lack this peristaltic contraction, which is called aperistalsis. When this occurs, foods, particularly solids, hang up in the esophagus and produce dysphagia (the sensation that food is stuck in the chest).
Detailed explanation-2: -Patients typically complain of bloating, distention, abdominal pain, nausea, and/or vomiting. Some may develop decreased or absent passage of stool and flatus. Small intestinal dysmotility seems to be quite common in patients with SSc.
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