A 44 year old woman has had increasing difficulty swallowing liquids and solids for the past 6 months. On phy exam her fingers have reduced mobility because of taut nondeforming skin. Barium swallow shows marked dilatation of esophagus with beaking indistal portion where there is marked distal narrowing. Biopsy specimen from lower esophagus shows prominent submucosal fibrosiswith little inflammation. Which of the following is most likely to produce these findings? a-Portal HTN b-Irondeficiency c-achalasia d-Barrets e-CREST syndrome f-Hiatal hernia
Posted on: Sun, 15 Jun 2014 13:44:59 +0000
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