1.) |
In view of the history in this patient, what is the differential diagnosis? |
Answer |
2.) |
What additional history should be obtained? |
Answer |
3.) |
What physical findings may be observed? |
Answer |
4.) |
What is the first diagnostic test that should be done and why? |
Answer |
5.) |
What other tests should then be done to confirm diagnosis and plan therapy? |
Answer |
6.) |
What is the pathophysiology seen in achalasia? |
Answer |
7.) |
What management may be recommended to this patient? |
Answer |
8.) |
What are indications for surgical management? |
Answer |
9.) |
What is the expected long term outcome for this patient? |
Answer |