Multiple lesions with dysphagia

A 69 year old female presented with multiple red lesions on both feet along with yellow discoloration of nails. Lesions show no discharge. It initially started on both arms. History dated back to 2 months with weight loss. She lost weight of 5 kg over the period of 2 months. She has no past medical and family history or surgical history.. She also complained of dysphagia to solids food. She is a chronic smoker. Neurological and cardiac examination WNL, Vitals stable with BP 130/ 80 mmhg. What do you think this case is about? What investigations should be ordered?

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Ca oesophagum BSR HBA1C B12 deficiency Pul.wilson syndrome Left endoscopy upper GI tract

Age, weight loss,smoker, dysphagia to solids,all in favour of ca oesophagus, with paraneoplastic dermatological manifestations.complete haematological profile,upper GI endoscopy,cxr and maybe a CT thorax would be advisable.

Solid dysphasia... seems to be Carcinogenic or B12 deficiency..... DD:- plummer Wilson Syndrome. Needs Anemia profile with B12 and Folate level.

Plumber Wilson syndrome Haemolytic anaemia urticaria do gi scopy complete haemogram lft ferritin tibc reticulocyte count

LDH hepatoglobin peripheral blood smear bone marrow
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NEED'S .. HEMOGRAM.. URINE ROUTINE.. BSR..HBA1C .. LFT .. ENDOSCOPY.. UPPER GI..TRACT.. OESOPHAGEAL MANOMETRY..

Tnx Dr Ashok Leel sir
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* CA OESOPHAGUS NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND LINE WITH TREATMENT.

Thanks Dr Kute Ankush
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Apparently esophageal carcinoma Endoscopy HbA1C, Consult ENT specialist

Dysphagia to the solid means growth inthe oesophagus, adv endoscopy

She need to undergo upper GI endoscopy for evaluation of dysphagia

CBC/esr,cu,SGPT,SBilirubin,FBS,S.TSH

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