Oropharyngeal and Esophageal Motility Flashcards
1
Q
Name the 3 stages of the oropharyngeal phase
A
prehension
mastication
deglutition
2
Q
What is involved in prehension?
A
scooping, licking, lapping
grasping of food and water
3
Q
What is involved in mastication?
A
chewing, bolus formation
4
Q
What is involved in deglutition?
A
rostro-caudal pharyngeal contraction, cricopharyngeal relaxation
5
Q
Differentiation of oral cavity disease
A
dysphagia (difficulty eating) salivation gagging abnormal drinking dropping food immediate food ejection undigested food occasional odynophagia (multiple swallowing attempts) discharge
6
Q
Differentiation of esophageal disease
A
dysphagia (sometimes) regurgitation salivation delayed food ejection undigested food frequent odynophagia single-multiple swallowing attempts dyspnea/cough
7
Q
Differentiation of gastric disease
A
vomiting salivation delayed food ejection digested food single swallowing attempts retching
8
Q
General signs of orpharyngeal disorder
A
- dysphagia
- dropping food
- gagging
- salivation
- immediate food ejection
9
Q
Causes of neuromuscular oropharyngeal dysphagias
A
myasthenia gravis lupus myositis hypothyroidism polymyositis brainstem disease
10
Q
Steps of primary peristalsis
A
CES relaxation
esophageal peristaltic contraction
GES relaxation stimulated by swallowing
11
Q
Steps of secondary peristalsis
A
esophageal peristaltic contraction
GES relaxation stimulated by esophageal distension
