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Question
Mr. Smith is a 65 yo male who presents to your office with difficulty swallowing solid food for the last 3 days. Patient states he is able to swallow liquids. He tells you that he is diabetic for the last 6 years and he also has high blood pressure. He states that he was having hard time swallowing his medications for the last 3 days. He states he was coughing a lot after he tried to take his medications. Patient vital signs: Temperature 101.3F, HR is 93, BP 90/56. O2 sats 93% on RA. RR is 23.
1. What questions will you ask the patient?
2. What is your next step?
3. What are your diagnoses?
4. What tests would you order and why?
5. If you suspect that patient aspirated, what would the treatment be?
6. What referrals would you make for this patient?
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