Transcript
ACHALASIA CARDIA DR.BANU CHANDER PANDIAN S
MBBS ,DNB FAMILY MEDICINE( RESIDENT)
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
Family history Maternal uncle died due GI cancer Further details unknown
General examinationConcious ,oriented ,afebrile No pallorNo icterusNo odemaNo lympadenopathyNo cyanosis
Systemic examinationRespi – B/L air entry presentCvs – s1 s2 heard P/A - soft ,non tender Cns - NFND
Provisional diagnosis
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Investigations Endoscopy Barium swallow Eosophageal manometry CT scan
Barium swallow
Endoscopy
CT scan
Final diagnosis
Achalasia cardia
Treatment Medical calcium channel blockerBotulinium toxinBallon dilatationSurgical heller myomectomy
Baloon dilatation
Follow upEvery 6 months with barium swallow
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