Download - Case presentation achalasia cardia
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ACHALASIA CARDIA DR.BANU CHANDER PANDIAN S
MBBS ,DNB FAMILY MEDICINE( RESIDENT)
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47 yrs female came with chief complaints of Dysphagia 6 months(more for solid )Odynophagia 4 months Weigh loss 2 kg over 6 months Nocturnal coughRegurgitation on/off 4 months
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Family history Maternal uncle died due GI cancer Further details unknown
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General examinationConcious ,oriented ,afebrile No pallorNo icterusNo odemaNo lympadenopathyNo cyanosis
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Systemic examinationRespi – B/L air entry presentCvs – s1 s2 heard P/A - soft ,non tender Cns - NFND
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Provisional diagnosis
?????????????
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Investigations Endoscopy Barium swallow Eosophageal manometry CT scan
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Barium swallow
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Endoscopy
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CT scan
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Final diagnosis
Achalasia cardia
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Treatment Medical calcium channel blockerBotulinium toxinBallon dilatationSurgical heller myomectomy
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Baloon dilatation
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Follow upEvery 6 months with barium swallow
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