1 - ENT - Head and Neck - Swallowing and Dysphagia Flashcards Preview

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Flashcards in 1 - ENT - Head and Neck - Swallowing and Dysphagia Deck (8):
1

First two stages of swallowing

oral prep - chew + mix with saliva
oral - voluntary - food moved to back by tongue

2

Last two steps of swallowing

Pharyngeal - involuntary - soft palate elevates, epiglottis covers trachea ,tongue moves backwards

Oesophageal - involuntary, food enters oesophagus

3

Two main types of causes of dysphagia

Mechanical problems
Motility problems

4

4 mechanical problems with swallowing

malignant stricture

benign stricture

extrinsic pressure - lung CA, goitre, AAneurysm, lymphadenopathy

pharyngeal pouch

5

Motility problems with swallowing

Achalasia - lower oesophageal sphincter fails to relax
diffuse oesophageal spasm
bulbar palsy
systemic sclerosis

6

other causes of swallowing difficulty

oesophagitis - GORD, or Candida

7

What is Globus Pharyngeus

sensation of lump in throat when not swallowing food

8

Globus pharyngeus - relief? cause?

may be relieved by swallowing
cause unclear - related to silent reflux? -------- exclude malignancy!

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