QuestionSBA
QuestionChoice
Endoscopic findings in eosinophilic oesophagitis are more likely to show oesophageal rings, furrows and white exudates.
10028175
e
Eosinophilic oesophagitis
QuestionChoice
Achalasia is characterised by dysphagia, regurgitation and chest pain. It occurs due to a failure of lower oesophageal sphincter relaxation and the loss of oesophagal peristalsis. This results in the accumulation of food and liquid in the oesophagus.
10028171
a
Achalasia
QuestionChoice
Oesophageal cancer can present with dysphagia but is commonly associated with a variety of other systemic symptoms. The endoscopic findings described are not typical for oesophageal cancer.
10028174
d
Oesophageal cancer
QuestionChoice
Whilst GORD can cause symptoms such as heartburn and regurgitation, the classic symptoms of GORD usually do not include progressive dysphagia.
10028172
b
Gastroesophageal reflux disease (GORD)
QuestionChoice
Oesophageal strictures can lead to dysphagia, but endoscopic findings would likely reveal a narrow or scarred oesophagus rather than dilatation.
10028173
c
Oesophageal stricture
Concept
Chapter
2693
4006
Achalasia
Topic
136
Gastroenterology
18032
A 59-year-old man presents with a 6-month history of retrosternal chest pain, regurgitation of undigested food and progressive dysphagia. The symptoms worsen when lying down and improve when sitting upright.

On examination, the patient has no abdominal tenderness and no masses are found.

Upper endoscopy reveals a dilated oesophagus with retained food.

What is the most likely diagnosis?
a