Ambulatory Healthcare Pathways for Ear, Nose, and Throat Disorders Terence M. Davidson, M.D. Globus Globus Algorithm Globus hystericus is a Freudian diagnosis. It is used today to describe far more than neurosis.
Explanation is all that is required.
Many describe this as a lump in the throat. Treating with GERD precautions plus a 30 day trial of h.s. The yield for fiberoptic laryngoscopy for globus hystericus is low, but the patient needs this level of invasive examination. Fiberoptic laryngoscopy also helps confirm the GERD diagnoses. The yield of Ba swallow for the diagnosis of globus is essentially zero, but the Ba swallow is less expensive than multiple ENT and Psychiatric consultations.