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Poll: An 88yo man has lost 30 lb over the past 2yr.He reports that food frequently sticks when he swallows

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Thread: q581

  1. #1
    Anonymous is offline Unregistered Guest
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    q581

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    see poll above

  2. #2
    Anonymous is offline Unregistered Guest
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    ans

    A:barium swallow

    case of Zenkerís diverticulum,these diverticula occur in elderly pts and more commonly on the left.the typical pt presents with complaint of dysphagia,weight loss and choking.Other pts present with the effects of repeated aspiration,pneumonia or chronic cough.a mass is sometimes palpable and a gurgle may be heard.Tx:excision and division of the cricopharyngeus muscle which can be done under local anesthesia in a cooperative pt.esophagoscopy dangerous bcoz the blind pouch is easily perforated.

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