MKSAP: 78-year-old man with symptoms of dysphagia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 78-year-old man is evaluated for symptoms of dysphagia that began 2 weeks ago. When he eats, he starts coughing after the first bite of food and occasionally has nasal regurgitation. On physical examination, blood pressure is 135/90 mm Hg, pulse rate is 78/min, and respiration rate is 12/min. Left-sided weakness is noted in both extremities, upper greater than lower. Which of the following is the most appropriate diagnostic test to evaluate this patient’s dysphagia? A. Barium swallow B. Esophageal manometry C. Upper endoscopy D. Videofluoroscopy Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Gastroenterology Otolaryngology Source Type: blogs