A 45yo woman complains of pain in her hands precipitated by exposure to the cold weather. She
is breathlessness on walking. When she is eating, she can feel food suddenly sticking to the
gullet. It seems to be in the middle of ther esophagus but she can’t localize exactly where it
sticks. It is usually relieved with a drink of water. Choose the single most likely cause of
dysphagia from the options?
a. Esophageal carcinoma
b. Systemic sclerosis
c. SLE
d. Pharyngeal carcinoma
e. Globus hystericus
answer: B
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