Q A 67-year-old man is referred to hospital with a lump in his neck and dysphagia. He has a smooth 5 cm swelling, which he says he has noticed gurgling at night. The consultant notes that the patient has been admitted three times in the past year with aspiration pneumonia. Best diagnosis is:
A. Torticollis
B. Thyroglossal cyst
C. Pharyngeal pouch
D. Tonsillitis
Explanation
Correct Answer: C. Pharyngeal pouch
A pharyngeal pouch is an extrusion of the pharynx through the neck muscles, and typically causes dysphagia with a neck mass. It predisposes to aspiration pneumonia, as regurgitated food may be inhaled.
A. Torticollis B. Thyroglossal cyst C. Pharyngeal pouch D. Tonsillitis Explanation
Correct Answer: C. Pharyngeal pouch
A pharyngeal pouch is an extrusion of the pharynx through the neck muscles, and typically causes dysphagia with a neck mass. It predisposes to aspiration pneumonia, as regurgitated food may be inhaled.