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General Medicine General dd8f98e0

A 32 year old woman presents with complaints of several months of burning substernal chest pain exacerbated by large meals, cigarettes, and caffeine. Her symptoms are worse when she lies on her back, especially when sleeping at night. Antacids often improve her symptoms. This patient is at risk for which of the following conditions?

A
Cardiac ischemia
B
Columnar metaplasia of the distal oesophagus
C
Mallory-Weiss lesion in the esophagus
D
Squamous cell carcinoma

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