2 - Dysphagia Evaluation Flashcards
Dr. Postma
Augusta
History
Coughing. With eating
Solids - Fixed anatomical lesion - TNE/BaS
Liquids. - Neuromuscular - MBS
What foods have you stopped eating?
FEES
What can patient safely eat?
Simple compensatory trials
Anything obvious to fix?
Glottal insufficiency?
Contrast Studies
Look at them yourself
Read the reports, but look at them yourself
Repeat the study if it doesn’t give you the information you need
CP can be preventing reflux and aspiration
Webs are harder to pick up for a radiologist. Missed often.
Eosinophilic Esophagitis
Reflux that doesn’t get better with PPIs
Gotta biopsy
Patient localizes their dysphagia to a point above the sternum
Esophageal cause likely
Dysphagia Surgical Society. Of the ABEA
Join it?