Flashcards in Dysphagia Deck (19)
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1
What is the definition of dysphagia
difficulty swallowing
2
Why is it important to ask about the progression / intermittent of dysphagia?
Solids or liquids getting stuck
3
Why is it important to ask about weight loss of dysphagia
Malignancy red flag
4
Why is it important to ask about vomiting and haemataemesis?
Vomiting - Small bowel obstruction
Haemotaemesis - tears in the GI tract
5
Why is it important to ask about regurgitation
Blockage
6
What is dyspepsia
indigestion
7
Does a history of dyspepsia help in the history or dysphagia
It is less important as it does not help in determining the different types of dysphagia
8
Is excessive burping of clinical importance in dysphagia
No
9
What single investigation for dyspahgia would you chose?
OGD - endoscopy
10
Is Schatzki ring a cause of dysphagia
Yes
11
What is a schatzki ring?
a overgrowth of normal oesophageal tissue that forms a ring usually in the lower oesophagus.
12
Does an oesophageal diverticulum cause dysphagia
Yes
13
What is an oesophageal diverticulum
An outpouching of the oesophagus
14
Does Bulgar Palsy cause dysphagia
Yes
15
Why does bulgar palsy cause dysphagia
Neurological causes are fairly common. the nerves supplying the swallowing mechanisms have been affected
16
Does motor neurone disease cause dysphagia
Yes
17
Does oesophageal varices cause dysphagia
No
18
What is the initial treatment you would give to someone with acute dysphagia caused by a food bolus
Intra venous fluids and Nil by mouth
19