Author: Haley Oosterhouse, MD
Co Author #1: Lindsay Huston, MD
Co Author #2: Matthew Lynch, MD
Senior Editor: Kristine Karlson, MD, FAMSSM
Editor: Lee Mancini, MD, CSCS, CSN
Patient Presentation:
A 19 year old male collegiate baseball player presented to the emergency room. He had the sensation for two hours that something was stuck in his throat.
History:
Approximately 4 hours prior to presentation, patient performed a heavy lift. He then ate a large meal of chicken and noodles. He noticed a stuck sensation in his throat and some throat pain. He believed there were bones in the chicken he was eating. He denied difficulty breathing or speaking, chest pain, nausea, vomiting, or fevers. No past medical history. He had Tommy-John surgery 18 months ago and was doing BFR (Blood Flow Restriction) therapy for this. No current medications or allergies.
Physical Exam:
General: No acute distress, not ill-appearing
HEENT: Normocephalic, atraumatic, handling secretions without issue, no visible abnormalities in the posterior oropharynx, no obvious crepitus on neck palpation. No congestion or rhinorrhea. Mucus membranes moist. PERRL, EOMI.
Cardiac: RRR, no murmurs, normal capillary refill
Pulmonary: Normal respiratory effort, clear to auscultation bilaterally
Abdominal: Soft, non-distended
Spine: Normal cervical spine range of motion and neck supple, no deformity or signs of injury
Neuro: No focal deficits
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