Upper gastrointestinal issues: Test your skills with these 5 questions
Author and Disclosure Information [Show]

Gary S. Ferenchick, MD, MS, FACP, is a Professor of Internal Medicine at Michigan State University, East Lansing. Dr. Ferenchick is also the creator of www.justintimemedicine.com.

Question 1 of 5

A 44-year-old man presents to the emergency department (ED). For the past 2 hours he has felt as if a piece of chicken he was eating is "stuck" in his esophagus and the lump won't move when he takes small sips of water.

He has experienced this sensation 6 times over the past 3 years, but each time this sensation resolved spontaneously within 30 minutes. He says he has had no heartburn or reflux symptoms in between these episodes. He has a history of atopic conditions (asthma and allergic rhinitis).

While in the ED, his symptoms resolve spontaneously. A physical examination after his throat symptoms resolve is normal. An esophagram completed in the ED is also normal.

The most appropriate diagnostic step for this patient is:

Esophagogastroduodenoscopy (EGD).

Computed tomography (CT) scan of the thorax.

Chest radiograph.

Electrocardiogram (EKG).

This quiz is not accredited for CME.

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