Monday, February 18, 2013

GI1 Case B


A 26 yo immigrant from Venezuela presents to your GI clinic because his dentist was not able to "cure" his constant complaint of halitosis. In addition to halitosis, he's started to have a hard time swallowing solid foods and is most noticeable when he's eating his favorite marinated meat that his mom prepares. He complains of more frequent "heartburn" during meals and uncontrollable hiccuping without the ability to burp. He's come to you today because he believes whatever is going on is interfering with his ability to the best foodie he can be and has started to take away some of the joy he normally gets from eating food.

On esophageal manometry, you note abnormalities. On barium swallow, you see the following? What is your leading diagnosis?

Name 4 different routes to the pathogenesis of this disease:

Name 3 pharmacologic treatments to this disorder:

What type of cancer is this patient at risk for? Use the following image to help you.


Name three risk factors for this cancer:


Where do these cancers usually reside in the esophagus?



Name the etiology/implications of these clinical presentations
1. Dysphagia for liquids
2. Dry Cough/Hemoptysis
3. Hoarseness
4. Hypercalcemia

Histopathological Highlight from UTAS____________________________

 (see answers)





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