Dysphagia Flashcards
Neurological Causes
Stroke Bulbar Palsy Myasthenia Gravis MND Parkinson's Disease
ENT Causes
Throat Ca
Pharyngeal Pouch
Throat Infection
Oesophagitis
Rheumatology Causes
Sjogren’s Syndrome
Oesophageal Motility
Achalasia
CREST (sclerosis)
Chagas Disease (trypanosomiasis)
Oesophageal Structure
Oesophageal Ca
Benign Stricture
Hiatus Hernia
Gasto Causes
Gastric Ca
Gastritis
Peptic Ulcer
GORD
External Compression Causes
Goitre
Thyroid Ca
Cardiovascular Hypertrophy
Lung Ca
Psychogenic Causes
Globus Hystericus
RED FLAGS
Weight loss, anorexia, fatigue
Solids -> fluids
Examination
Neurological
ENT
Thyroid
Bedside
Observations
Temps (infection)
Bloods
FBCs, UEs, LFTs
TFTs
ANA antibodies
Imaging
CXR: heart size, mediastinal/lung mass
Special Tests
Gastroscopy
Barium Enema (swallowing motility disorder)
H pylori
HIV test
Social Hx
Alcohol
Smoking
HIV Risk factors
High fish diet