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Surgery General ca4d9cae

A 40-year-old male with h/o progressive dysphagia for liquid has dilated esophagus on barium meal. Most likely cause is

A
Achalasia cardia
B
Cancer at cardia
C
Ca esophagus
D
Carcinoma gastric fundus
High-Yield Explanation
Achalasia cardia * All of the above mentioned condition except Achalasia cardia occur around 60 years of age. Features for differentiation between achalasia cardia and carcinoma esophagus: Achalasiacardia Carcinomaesophagus a. Around30-40 yearsofage a. Presentationafter60yearsofage b. No dysphagiafor solids b. Dysphagiafor solidspresent c. Dysphagiaforliquidspresent c. Dysphagiaforliquidsonlyat verylatestages

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