All right, welcome to episode 575 of the Divine Intervention Podcasts.

In today's podcast, we're going to be continue our rapid review series for the USMLA Step 2, CK and Step 3 exams.

This is going to be series 118.

Series 118.

Again, if you want to know the specific episode numbers for these things,

I'll strongly encourage you to go back and take a look, go back and take a look.

Go on my website, divine intervention podcast.com and then look at exam topics list.

On the exam topics list, I do actually talk about

the, you know, it's like, hey, rapid review series one is this, series two is that, you know.

All right. So let's jump right into it. So what if they give you a question about a patient?

They tell you that this patient, you know, their hands, the skin around their hands

and their fingers looks very tight, around their forearm, you know, looks very tight. And you're

told that this person has been having dysphasia for the past one month, right? And that the

person's symptoms have not been well controlled with over-the-counter therapies.

And then they then asked what's your most appropriate next best step in management.

So I would really hope that on your exams, you're probably thinking of getting an EGD,

getting an esophageal gastrodoidoscopy.

So this person probably has scleroderma, right?

This person probably has chloderma, right?

And we know that scleroderma can cause a lot of problems with the esophagus.

You know, many of you probably know about crest scleroderma.

So what does the crest stand for?

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