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BOF: 153

A 62 year old male presents with a history of difficulty in swallowing. This affects both solids and liquids.  He also gives a history of breathlessness occurring at night. He is known to have ischaemic heart disease and hypertension and is on ramipril, atenolol and aspirin. He does not smoke having stopped 2 years prior to presentation, takes 24 units of alcohol per week

Clinical examination is unremarkable

In this patient which one of the following would you arrange next?

a)     CT scan of chest

b)     Oesophageal pH and manometry

c)     Gastroscopy

d)     Barium swallow

e)     Chest X-ray

 

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