Dysphagia in an elderly patient

Published: 11 May 2018
Author(s): Sien Hui Tan, Rekha Balachandran, Narayanan Prepageran
Issue: June 2018
Section: Internal Medicine Flashcard

A 75-year-old female presented to the Otolaryngology department with a history of sudden onset dysphagia and choking sensation while having chicken rice for lunch. She was edentulous and had no significant medical history. On examination, she appeared uncomfortable with drooling of saliva. There was no stridor, cyanosis or palpable neck mass. Flexible nasoendoscopy findings revealed a fullness in the post cricoid region but were otherwise unremarkable. She had stable vitals signs with normal peripheral oxygenation saturations.