Question

A 43-year-old female presents with complaints of heartburn and a "sticking sensation in my throat when I try to swallow liquids or solid foods." Review of systems reveal that her fingers often hurt and change colors to white or blue in cold weather. Physical exam is significant for abnormally taught skin on the patient's hands, shown in Figure A. What would most likely be found on manometry in this patient?

Answer 1

Manometry in this patient would likely reveal dysfunction of the lower esophageal sphincter (LES), consistent with gastroesophageal reflux disease (GERD).

Step-by-step explanation:

Manometry Findings in the Patient

In this patient, manometry would most likely reveal dysfunction of the lower esophageal sphincter (LES). The symptoms of heartburn and feeling a "sticking sensation" in the throat when swallowing liquids or solid foods are consistent with gastroesophageal reflux disease (GERD). In GERD, the LES, which normally prevents stomach acid from entering the esophagus, is dysfunctional, leading to acid reflux and its associated symptoms.