A 52-year-old woman comes to the GP for a 5-month history of non-productive cough and shortness of breath. She has a one-year history of difficulty swallowing, stiffness of her joints, and tightness of the skin of her fingers. She says her fingers sometimes turn color when exposed to cold. She currently takes omeprazole for gastroesophageal reflux disease. This patient is at greatest risk of developing which of the following?
“Bird’s beak” appearance on barium swallow
Hypercalcemia
Non-Hodgkin lymphoma
Panacinar emphysema
Pulmonary hypertension
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Cut-to-the-chase Answer (0:26):
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HY USMLE Answer (7:19):
