SAEM Clinical Image Series: Dysphagia and Dyspnea in a Well Digger

progressive pulmonary fibrosis causing dysphagia and dyspnea

[Click for larger view]

Chief Complaint: Pain with swallowing

History of Present Illness: A 43-year-old male presented to the emergency department with progressing pain upon swallowing. He described a sensation of food becoming stuck and creating a fullness in his chest. Review of symptoms was positive for dyspnea on exertion worsening over several months, but negative for cough, fevers, or weight change. He reported no medical history and had recently emigrated from Guatemala where he worked as a well digger.
(more…)