Dysphagia

Question 1

Special questions for dysphagia history

Answer 1

1. pain with swallowing
2. liquids or solids
3. progression
4. hoarseness
5. drooling
6. Raynaud phenomenon

Question 2

Esophageal cancer (solids to liquids dysphagia)

Answer 2

1. CBC
2. CXR
3. Upper endoscopy with biopsy
4. Barium swallow
5. CT chest

Question 3

What is this: Dysphagia for 2 wks, mouth and throat pain, craving for ice and clay

Answer 3

Plummer-Vinson syndrome

Question 4

Plummer-Vinson syndrome tests

Answer 4

1. CBC
2. Serum iron, ferritin, TIBC
3. Upper endoscopy

Question 5

Achalasia (both solids and liquids, progressive over year, regurgitate undigested food)

Answer 5

1. Upper endoscopy
2. Barium swallow
3. Esophageal manometry

Question 6

Esophagitis (CMV, HSV, HIV, candida, pill-induced, etc)

Answer 6

1. CBC
2. Upper endoscopy
3. HIV antibody and viral load
4. CD4 count