Dysphagia (Buzzwords)

Question 1

Pain when swallowing +/- history of heartburn

XS alcohol or smoking

No weight loss, systematically well

Answer 1

Oesophagitis

Question 2

Dysphagia +
there may be a history of HIV or other risk factors such as steroid inhaler use

Answer 2

Oesophageal candidiasis

Question 3

Dysphagia of both liquids AND solids from the start

Heartburn

Regurgitation of food - may lead to cough, aspiration pneumonia etc

Answer 3

Achalasia

Question 4

Typical symptoms are dysphagia, regurgitation, aspiration and chronic cough. Halitosis may occasionally be seen

Answer 4

Pharyngeal pouch

Question 5

Dysphagia with liquids as well as solids

May present with extraocular muscle weakness or ptosis

Answer 5

Myasthenia gravis

Question 6

There may be a history of anxiety
Symptoms are often intermittent and relieved by swallowing
Usually painless - the presence of pain should warrant further investigation for organic causes

Answer 6

Globus hystericus

Question 7

Answer 7

Oesphagitis

Question 8

Answer 8

Haemophilus influenzae

Question 9

Answer 9

myasthenia gravis

Question 10

Answer 10

Acanthosis nigricans

Question 11

Answer 11

Achalasia

Question 12

Answer 12

Plummer-Vinson syndrome

Question 13

Answer 13

Plummer-Vinson