Which is most appropriate next step in diagnostic evaluation

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Reference no: EM133874366

Problem

An 81-year-old man presents with painful oral ulcers for the past 2 weeks along with dysphagia. He also reports fatigue and shortness of breath for the past month. His only medications are acetaminophen and cetirizine. On exam, the patient appears slightly cachectic. Oral exam reveals severely tender erosive lesions involving the mucus membranes and tongue. The patient has a blood pressure of 101/80, heart rate of 110, and temperature of 99.6 °F. Get the instant assignment help. Which is the most appropriate next step in diagnostic evaluation?

Reference no: EM133874366

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