Approach to vomiting (chronic) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 52-year-old man presents to the primary care office for daily chest pain and vomiting for the past two months. Symptoms are worse at night and have occurred on most days of the week for the last two months especially after he eats a late dinner. The patient smokes a pack of cigarettes per day and drinks five or six beers daily. Temperature is 37.0°C (98.6°F), pulse is 88/min, respiratory rate is 16/min, and blood pressure is 138/84 mmHg. BMI is 31. On examination, there is mild tenderness to palpation in the epigastric area. Esophagogastroduodenoscopy (EGD) reveals inflammation at the gastroesophageal junction. Which of the following additional findings is most likely found on examination? 

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