Question of the Week - October 2o21
October 7th, 2021
A 45-year old female presents with a chief complaint of vertigo. Her symptoms are especially bothersome when the organs play loudly in her church. The patient also states she cannot hear very well in her right ear.
Based on the most likely diagnosis for this patient, which of the following additional symptoms might she describe upon further questioning?
A. "Hearing eye movements in the head"
B. "Ringing in the ear in the pattern of a heartbeat"
C. "Pounding headache that lasts several hours"
D. "Ringing in the ear that comes and goes"
E. “Loss of sensation to half the face”
October 20th, 2021
A 62-year-old male presents to the clinic complaining of chronic halitosis, nighttime cough, and frequent regurgitation of food after large meals. Earlier this year he was seen by a GI specialist and underwent a normal endoscopy and 6-month trial of PPIs without improvement. The patient is also troubled by his recent weight loss and constant sensation of feeling like something is stuck in his throat. Based on this patient's symptoms, what is your most likely diagnosis?
A. Reflux esophagitis
B. Achalasia
C. Zenker’s diverticulum
D. Plummer-Vinson syndrome
E. Esophageal Cancer