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Retired NBME 18 Answers

nbme18/Block 1/Question#46 (reveal difficulty score)
A 35 yo man with Chagas disease comes to the ...
Loss of neurons in the myenteric plexus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—motherhen(69)
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Barium swallow shows failure of LES relaxation, causing distal stenosis of the LES ("bird's beak" sign) proximal dilation indicative or achalasia- or in this case "pseudoachalasia" secondary to Chagas (FA2020 p370). This is caused by the loss of inhibitory neurons in the myenteric (Auerbach) plexus.

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lokotriene  FA2020 p376* +



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