A 65yo man with difficulty in swallowing presents with an aspiration pneumonia. He has a
bovine cough and fasciculating tongue. Sometimes as he swallows food it comes back through
his nose. Choose the single most likely cause of dysphagia from the given option?
a. Bulbar palsy
b. Esophageal carcinoma
c. Pharyngeal pouch
d. Pseudobulbar palsy
e. Systemic sclerosis
answer: A
Fasciculations = Bulbar
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