28M w few weeks of trouble swallowing (gets stuck “right here,“ points to mid-sternum), solid/liquids same, gradual over months-weeks, some vomiting w/o specific timing. Sometimes has pain when not eating. 20lb weight loss over months. No skin lesions. ?thrush.
dx BPD, no other dx or procedures
HR 100, SBP 80 -> 100 w 500mL LR, AF cachectic (temporal, hypothenar wasting) +skin tenting diffuse abd tenderness
Hgb 10, MCV 88, WBC ~4, ANC 1500 BMP wnl Alb 3.4 HIV+, VL 15k, rest of STI -ve
CXR wnl (AP and lateral)
candidal esophagitis, achalasia, H Pylori PUD