It's a clinical note for aiden breuford alpha 3 5 5 8 0 2 many thanks for referring this patient to medicine presented complaint quote food down the wrong way end quote history of presenting complaint today was eating a penne, lettuce and prawn with sweet corn pasta salad when quote felt food go down the wrong way end quote and coughed and spluttered following this full stop since then, has had pain and difficulty in initiating a swallow with sensation of a lump in the pharynx stop <\n\n> Encouraged to drink water and able to drink good volumes of clear fluid and without vomiting or aspirating but still complains of pain encouraged to gargle water but no improvement in symptoms excessive coughing but no food produced discussed with ent who are dealing with multiple everstaxes however will strive to attend following this impression food debris in the larynx leading to airway irritation and globus sensation not a food bolus obstruction plan not for medical admission for ent discuss with ent registrar or shm who will kindly contribute the patient when able