Dysphagia Flashcards

1
Q

What is the definition of dysphagia

A

difficulty swallowing

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2
Q

Why is it important to ask about the progression / intermittent of dysphagia?

A

Solids or liquids getting stuck

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3
Q

Why is it important to ask about weight loss of dysphagia

A

Malignancy red flag

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4
Q

Why is it important to ask about vomiting and haemataemesis?

A

Vomiting - Small bowel obstruction

Haemotaemesis - tears in the GI tract

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5
Q

Why is it important to ask about regurgitation

A

Blockage

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6
Q

What is dyspepsia

A

indigestion

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7
Q

Does a history of dyspepsia help in the history or dysphagia

A

It is less important as it does not help in determining the different types of dysphagia

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8
Q

Is excessive burping of clinical importance in dysphagia

A

No

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9
Q

What single investigation for dyspahgia would you chose?

A

OGD - endoscopy

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10
Q

Is Schatzki ring a cause of dysphagia

A

Yes

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11
Q

What is a schatzki ring?

A

a overgrowth of normal oesophageal tissue that forms a ring usually in the lower oesophagus.

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12
Q

Does an oesophageal diverticulum cause dysphagia

A

Yes

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13
Q

What is an oesophageal diverticulum

A

An outpouching of the oesophagus

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14
Q

Does Bulgar Palsy cause dysphagia

A

Yes

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15
Q

Why does bulgar palsy cause dysphagia

A

Neurological causes are fairly common. the nerves supplying the swallowing mechanisms have been affected

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16
Q

Does motor neurone disease cause dysphagia

A

Yes

17
Q

Does oesophageal varices cause dysphagia

A

No

18
Q

What is the initial treatment you would give to someone with acute dysphagia caused by a food bolus

A

Intra venous fluids and Nil by mouth

19
Q

What initial investigation would you do for acute dysphagia caused by a food bolus

A

OGD