Gi

[IMG SURVIVOR]

A 60 year old woman with a history of 20 pounds lost in the lasr 4 weeks, ol she complains tht her meals are getting stuck in her chest and not only has this symptom been getting progressievely worse, the feeling persists throughtout the day.she also has history of smoking for the last 30 years and she drinkis alcohol
What is the MOST likely DX?
A- esophagal cancer
B-Para esophageal hiatal hernia
C-Reflux esophagitis
D-Autonomic nervous system Dysfunction
E- lower esophageal ring

[wcb22]

A, (and distinguish if she can swallow solids --> liquids ---> nothing)

[IMG SURVIVOR]

A, (and distinguish if she can swallow solids --> liquids ---> nothing)

You are cooooooorrect tell him what he won

He won a spot for internal medicine residency :cool: