Last updated on: February 10th, 2021

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Difficult To Swallow


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A 54-year-old Caucasian man presents with progressive dysphagia for 3 months. This is only to solids, and is associated with a sensation of food getting stuck in the middle of his chest. He has also lost 10 pounds of weight over the past three months.

He does not take any medications presently, and specifically, has never taken medications for heartburn. However, further questioning reveals that he has experienced multiple episodes of regurgitant material coming up to his throat, especially at night, for several years now.

His medical and family histories are otherwise unremarkable. He is an active smoker with a greater than 30 pack year smoking history and drinks alcohol socially.

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