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The lecture Oropharyngeal Dysphagia by Carlo Raj, MD is from the course Esophageal Disease: Basic Principles with Carlo Raj.
A 65-year-old man presents to the physician's office with a 3-month history of difficulty swallowing, sometimes accompanied by severe coughing and choking. He also admits to having difficulty walking for the past several months. A chest X-ray shows a consolidated area in the lungs. Which of the following would be the BEST initial approach to determine the cause of this patient's symptoms?
Which of the following would be the BEST test to detect structural or neuromuscular lesions causing oro-pharyngeal dysphagia?
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There are many more symptoms of oropharyngeal dysphagia than those mentioned (e.g. increased chewing time, inability to form bolus etc.). Also, referral to speech pathology would provide additional insight into the patient's dysphagia.