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20 Cards in this Set
- Front
- Back
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Dysphagia
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Difficulty swallowing
specificall difficulty passing solids and/or liquids from mouth to stomach |
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What would a patient with dysphagia complain of?
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Food sticking in throat/esophagus
Difficulty Swallowing Food sticking and then choke |
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Odynophagia
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Pain associated with swallowing
May or may not accompany dysphagia Usually caused by painful lesions in the mouth |
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Symptoms of Odynophagia by itself
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Swallowing may be difficult secondary to pain
Material passes easily from oropharynx to the stomach once swallowing is initiated |
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Most common cause of Odynophagia?
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Herpes simplex and Candida stomatitis
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Globus Hystericus
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sensation of a lump in the throat
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What does the patient complain of Globus Hystericus?
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Sensation of something in the back of the throat "all the time"
conveys a sense of dysphagia |
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Effect of swallowing with Globus Hystericus
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Swallowing is normal
Sense of "lump" disappears transiently with swallowing |
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Primary cause of Globus Hystericus
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Tightening of upper esophageal sphincter
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What type of condition is Globus Hystericus?
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Benign condition
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Achalasia
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Lower esophageal sphincter
Results in dilation of the upper esophagus a cause of true dysphagia |
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Diffuse Esophageal Spasm
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synchronous contraction of the esophagus
Lack of orderly peristalsis May be periods of normal peristalsis A True cause of dysphagia |
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Vomiting (emesis)
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forcible voluntary or involuntary emptying of the stomach contents through the mouth
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Regurgitation
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flow of material back up the esophagus into the throat or lungs
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Hx of swallowing difficulty progressing over time
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suggests a progressive lesion (tumor)
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Hx: Swallowing difficulty remains fixed with certain sized quantity of food
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suspect stricture
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Hx: Dysphagia with both solids and liquids
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Suspect a motility disorder
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Hx: Dysphagia with hiccups
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Suggests problem in the distal esophagus
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What are the 3 steps of Dysphagia Hx taking?
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1: Is dysphagia present?
2: Is this esophageal or oropharyngeal in location? 3: Is this a structural abnormality or a motor disorder? |
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What do you look for in the ROS of a dysphagia case?
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Heartburn
Weight Loss Hematemesis Anemia Regurgitation of food particles Respiratory Systems |
