Esophageal cancer

Diagnosis H&P: Risk factors. Common Presentation: Patient with risk factors presents with dysphagia with or without unintentional weight loss. Dysphagia starts with solids first, then advances to liquids as the disease progresses. Diagnostic studies -Upper...

Lumbar Spinal Stenosis

-Increased pain with lumbar spine extension is consistent with lumbar spinal stenosis. -Pain gets worse with spine extension. Spinal flexion reduces the pain. Why? “Spinal extension that increases lumbar lordosis decreases the cross-sectional area of the spinal...

Amyloidosis

“An 82-year-old white male consults you following several syncopal episodes that are clearly orthostatic in nature. During the course of your evaluation, you find that he has a large tongue, mild cardiomegaly, and findings that suggest bilateral carpal tunnel...