A 24-year-old woman presents to the clinic for preoperative evaluation for a
scheduled right anterior cruciate ligament repair. Preoperative clearance was
requested by the surgeon secondary to the patient complaining of chest pain.
Review of systems is positive for a chronic nonproductive cough, chest pain,
fatigue, and weight loss. She denies any history of tobacco use. A chest
radiograph reveals bilateral hilar adenopathy with symmetric enlargement of the
hila. Serum angiotensin-converting enzyme levels are ordered and found to be
elevated. What is the most likely diagnosis?
Sarcoidosis
What is the best therapy for an ascending aortic dissection?
Emergent open surgical repair
Why must the preoperative preparation for surgical resection of a patient with a
diagnosed pheochromocytoma involve propranolol initiation after a 10-14 day
course of phenoxybenzamine?
To avoid unopposed apha-adrenergic receptor stimulation
A 45-year-old man with a past medical history significant for obesity, status post
partial gastrectomy, returns to the clinic following a recent barium swallow study
for complaints of abdominal pressure and fullness. Results from the study show
displacement of the gastroesophageal junction and herniation of a portion of the
gastric fundus into the thoracic cavity. Which of the following is the most likely
diagnosis?
A) Esophageal motility disorder
B) Esophagitis
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