Dysphagia Flashcards Preview

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Flashcards in Dysphagia Deck (4)
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1

Px

Regurg
Wl
Cough
Choking
Hoarse voice

2

Ix

Hx- onset, prog, solid vs fluid
Nutrit status
Mechanical or motil
Bloods, ABG
CXR
Spirometry, ECG, ex tol
Barium swallow
Endosc- OGD, biop if req
Manometry
US, CT, EUS
Staging ix for CA, PET

3

causes

Mechanical- mural, extramural, intraluminal
Motility
Mech eg zenkers divertic of pharynx mucosa, above cricopharyng musc. Tx- myotomy or diverticulotomy.
Pulsion diverticula due to high intraluminal press- zenker, epiphrenic
Traction due to ext contrac- mid oes, TB adenitis, histoplasmosis. Us asymp.
Extramural- goitre, cervical spondylosis, bronchogenic CA, large L atrium, congenital dysphagia.
CA- squam carcinoma, adenocarcinoma, small cell rare, stromal tum, lymphoma.

4

mx

Tx cause
CA- oesophagectomy, chemo, radio, palliative
Oesophagectomy risks- resp complics, delay gastric emp, stricture, anast leak, gastric nec, chylothorax, RLN palsy