Achalasia and Esophagectomy
Achalasia and Esophagectomy Presentation A 39-year-old Hispanic woman who immigrated to the United States 18 years ago is referred to you with increasing symptoms of dysphagia, which started with solids…
Bullous Disease
Bullous Disease Presentation A 49-year-old man presents to the emergency department with complaints of shortness of breath. He describes persistent and worsening symptoms of shortness of breath and wheezing over…
Intralobar Sequestration
Intralobar Sequestration Presentation You are consulted to evaluate a patient who presents to the oncology service. The patient is a 37-year-old woman with a history of leukemia. She completed her…
Squamous Cell Carcinoma of the Esophagus
Squamous Cell Carcinoma of the Esophagus Presentation A 63-year-old woman presents to your office with a 3-month history of dysphagia and a 25-pound weight loss. She has an extensive history…
Thymic Carcinoma
Thymic Carcinoma Presentation A 53-year-old-man presents to his primary care physician complaining of weight loss, chest pain, and cough. On physical examination, the physician notes decreased breath sounds over the…
Radiation Pneumonitis
Radiation Pneumonitis Presentation A 72-year-old man presents with the chief complaint of shortness of breath. His symptoms have been progressive over the past year. He is able to climb two…
Foramen of Morgagni Hernia
Foramen of Morgagni Hernia Presentation A 22-year-old obese man with no significant medical problems presents to his primary care physician with right upper quadrant abdominal pain for the past 2…
Palliative Laser Stent Treatment
Palliative Laser Stent Treatment Presentation A 65-year-old man presents to the emergency department in moderate distress. The patient reports dyspnea on exertion and blood-streaked sputum for past 4 months. He…
Esophageal Adenocarcinoma and Transhiatal Esophagectomy
Esophageal Adenocarcinoma and Transhiatal Esophagectomy Presentation A 51-year-old man is admitted to the emergency department with a 2-month history of worsening episodes of dysphagia. He complains of retrosternal discomfort soon…
