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NBME 20 Answers

nbme20/Block 1/Question#13
A 6-week-old girl is brought to the physician ...
Immature lower esophageal sphincter🔍

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 +6  upvote downvote
submitted by suku008(7),

It’s a common disease that impacts babies and children. GERD stands for gastro esophageal reflux disease. Dr. Viraine Weerasooriya, a pediatric gastroenterologist on the medical staff of Golisano Children’s Hospital of Southwest Florida, says infants are prone to having reflux until their gut matures at about 12 to 18 months. But GERD is more than just reflux. “What this implies is individuals who have problems with gastro contents that move up to the esophagus or into the mouth.

suku008  https://www.youtube.com/watch?v=DFcySw14rIo +1  



 +5  upvote downvote
submitted by hayayah(884),

No abnormalities, only some vomiting, looks well w/ no failure to thrive. Most likely immature LES.

masonkingcobra  http://www.sedico.net/English/SedicoInformationCenter/Physicians/gerd_e.htm +4  



 +1  upvote downvote
submitted by ankirin(2),

What is esophageal spasm and how would it present differently?

baja_blast  I had narrowed it down to that and the correct answer. I think the difference is that esophageal spasm tends to present with pain and dysphagia. FA 2019 p. 371, right at the top of the page. +  
orthonerd  Relating the phrase "diffuse painful contraction" to esophageal spasm has helped me remember the associated descriptions they go to. +  



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