This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.A 30-year-old man consults about an unusual "lump" or "knot" feeling in his throat, present for 4-6 weeks. He describes throat tightening and excessive saliva, but swallowing solids or liquids is easy. With a recent family history of larynx cancer, he is worried. We discuss the potential diagnosis of globus pharyngeus disorder, its link to emotional factors, and necessary investigations like laryngoscopy. Serious disease is considered unlikely in this case.

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