07-13-2009, 08:00 PM
i can bet and say that the same q in uworld ans would have been EE.
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id q - maheshraj84
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07-13-2009, 08:03 PM
harsh ,,yes sorry i misread the qur right it dysphagia,,not dyspepsia
rubina why not jst start with emperic n later do egd.
07-13-2009, 08:31 PM
What is ans this Q......
A 28-year-old man with longstanding HIV infection has a 1-week history of dysphagia and mild odynophagia and a 2.3-kg (5-lb) weight loss. He has not had fever or hematemesis. History is significant for oropharyngeal candidiasis and Pneumocystis jiroveci (formerly Pneumocystis carinii) pneumonia. The patient is noncompliant about taking his highly active antiretroviral therapy (HAART). Physical examination is normal; there is no thrush. His most recent CD4 cell count was 68/μL (0.068 × 109/L). In addition to emphasizing the need to adhere to his HAART regimen, which of the following is the most appropriate next step in managing this patient's current findings? A Fluconazole B Omeprazole C Barium swallow D CT scan of the chest E Upper endoscopy
07-14-2009, 12:17 AM
aaaaaaaaaaa. Because of dysphagia, mild odynophagia and weight loss, Hx of oropharyngeal candidiasis and low CD4.
07-14-2009, 06:47 AM
A
here history of candidiasis and low CD4 count.I think in low cd4 count and previous history we can start emperic treatment with fluconazole, |
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