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6328 Medicine

A 35-year-old HIV-positive man comes to you with a 6-month history of progressive memory loss and incontinence. He is taking zidovudine and a protease inhibitor. Examination demonstrates deficits in cognitive and fine motor control functions. Lab shows a CD4 cell count of 25/mm3. MRI studies reveal moderate brain atrophy but no focal lesions. LP shows no CSF abnormalities. Most likely diagnosis

ACMV encephalitis
BCryptococcal meningoencephalitis
CHIV encephalitis
DHIV myelopathy
Medicine
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6336 Medicine

A 45 year old male presented to emergency with complaint of chest pain associated with swallowing a piece of meat. He repos similar episodes over the past 3 years. But today’s episode was the most severe. He doesn’t give a history of regurgitation other than these episodes or heaburn symptoms. There is no difficulty in liquid intake and has not had any weight loss. Probable diagnosis in this case is?

ASchatzki ring
BAdenocarcinoma of the esophagus
CAchalasia
DPlummer-Vinson syndrome
Medicine
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