drdg
Forum Senior
Topics: 31
Posts: 176
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a 63-year-old man presents with a 2-month history of dysphagia to both solid and liquids. He has had a 6.6 lb weight lose over this time. is past medical history is remarkable for a transient ischemic attack 6 months ago, two bouts of pneumonia in the past 3 months, and chronic heartburn treated with over-the counter antiacids. Physical exam shows a supple neck without masses. Abdominal exam shows mild epigastric tenderness to deep palpation. Chest x-ray is normal. Which of the following is the most appropriate next step in diagnosis?
A. Endoscopy
B. Barium swallow
C. Motility studies
D. Video fluoroscopy
e. 24-h Ph monitoring
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| dr.wad
Forum Senior
Topics: 3
Posts: 345
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B - barium.
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| Ivonne
Forum Guru
Topics: 57
Posts: 1,519
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B
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"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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B Barium Swallow
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| hanialkhadher
Forum Elite
Topics: 16
Posts: 256
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| drdg
Forum Senior
Topics: 31
Posts: 176
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Yes, the correct answer is B.
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