3 Months Of Progressive in Medicine / Internal Medicine — 55yo Man | Gastroenterology | SMLE Q#11366
SMLE Question #11366
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 55-year-old man presents to an outpatient gastroenterology clinic with 3 months of progressive dysphagia to solid foods, described as food sticking in the mid-chest. He has a 10-year history of gastro-oesophageal reflux disease controlled with a daily proton pump inhibitor. He denies odynophagia, weight loss, haematemesis, or melaena. Physical examination is unremarkable, and he appears well nourished. He has never undergone upper endoscopy. What is the most appropriate next step in management?
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