How to Answer Patient Year Male Questions (Complete Guide)

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Key Explanation

This topic involves patient year male. A strong answer should include explanation, application, and examples.

Original Question

The patient is a 51-year-old male who was referred to you for a modified barium swallow study. He reports a sore throat, ear pain, and intermittent dysphagia. He is a nonsmoker and nondrinker. He thinks he feels a lump on his right neck but can’t be sure. You perform a modified barium swallow (MBS) study and an esophagram with the radiologist. The patient was found to have physiological swallowing problems: reduced base of tongue movement to posterior pharyngeal wall, reduced pharyngeal constrictor muscle strength resulting in postswallow residue in his pharynx, reduced hyolaryngeal elevation and anterior excursion, and reduced epiglottic inversion resulting in penetration of thin liquids. You observe what appeared to be an irregularity at his base of tongue. The radiologist agreed but wasn’t able to state if a base of tongue mass was observed. The patient was repositioned for the esophagram part of the study in an oblique position and then RAO position. Normal passage of the bolus through the cricopharyngeal into the proximal esophagus and efficient and timely esophageal peristalsis without evidence of esophageal abnormality was noted by the radiologist. Describe your recommendations to this patient based on your findings from the clinical swallow evaluation. A. Recommend that the patient modify his diet to soft foods and nectar-thick liquids, and instruct him to follow up with you in one month to determine if the diet changes were effective. B. Tell the patient not to worry since they are a nonsmoker and nondrinker. C. Refer the patient to a head and neck surgeon. If possible, follow the patient and do a flexible endoscopic evaluation and initiate swallow therapy. D. Refer the patient to a gastroenterologist.

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