Q:

An old lady 72 year old staying at a nursing home for a few years, a known Hypertensive on regular treatment presented with sudden dysphagia while eating with drooling of saliva and require urgent investigation. What would be your next step?

waelhammad
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2022-11-05
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An old lady 72 year old staying at a nursing home for a few years, a known Hypertensive on regular treatment presented with sudden dysphagia while eating with drooling of saliva and require urgent investigation. What would be your next step?

  1. Ba swallow
  2. Chest CT
  3. Endoscopy
  4. Laryngoscopy
  5. CXR
  6. Endoscopy with biopsy
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waelhammad
2022-11-05
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The key is C. Endoscopy. [Probable impacted food bolus (usually meat)which can be visualized and removed with the aid of endoscopy].

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