A 28-year-old woman without clinical signs of inflammation or infection but with symptoms of fatigue visited the emergency department for a sudden, diffuse, and painful enlargement of the upper quadrants of the left breast with edema and palpable axillary lymph nodes. What is your diagnosis?
A man had worsening abdominal discomfort and a large recurrent umbilical hernia, early satiety but no nausea or vomiting, night sweats, and weight loss; examination revealed an umbilical hernia, palpable abdominal mass, and lower extremity edema. What is your diagnosis?
This article reviews the pathophysiology, clinical presentation, diagnostic evaluation, and treatment of gastroesophageal reflux disease.
Hoppo et al evaluate use of hypopharyngeal multichannel intraluminal impedance in patients with idiopathic chronic cough to determine whether laryngopharyngeal reflux or high-esophageal reflux was the cause of the cough. See the invited critique by Patti.
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