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Dysphagia

Definition

(Show Disclaimer) Note: I copy the "definition" of something straight from the book. I find it's best to have an all-encompassing definition in order to better orient myself when I am studying.

Show Definition The terms dysphagia, odynophagia, and globus are defined as follows:

Incidence/Prevalance

Some estimates suggest 1 in 25 elder adults in USA have it, otherwise generally unclear due to varying etiology and complications that arise.

Higher incidence in females than males, incidence increases with age.

Predisposing factors

It is NOT a sign of normal aging in adults and should be evaluated whenever concerns are present.

Pathogenesis

Acute onset dysphagia is almost always d/t food impaction/foreign body ingestion and should be treated immediately.

Generally divided into oropharyngeal vs. esophageal dysphagia:

(Oropharyngeal Dysphagia - long list, click to open)

(Esophageal Dysphagia - long list, click to open)

Common Findings

Other Signs and Symptoms

History

  1. HPI: Need to know: (1) Solids, liquids, or both? (2) Progressive vs. intermittent (3)
  2. ROS: Odynophagia may indicate an infectious etiology.
  3. ALL/MEDS/HIITS: (What are HIITS? - Click to expand) Meds: (Ask specifically about potassium chloride, alendronate, ferrous sulfate, quinidine, ascorbic acid, tetracycline, aspirin and NSAIDs)
  4. PMH/FAMHx/OBGYN: FamHx GI cancer
  5. SOCHx: Smoking/EtOH/Recreational drugs

Physical Exam

Coming soon.

Diagnostic Tests

DDx

See pathogenesis section.

Plan

Follow-up

Not important.

Consultation/Referral

Not important.

Individual Considerations

Not important.


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