DYSPHAGIA

DYSPHAGIA

DD:

CARCINOMA

BARRETS OESPHAGUS, PEPTIC STRICTURE

TIA STROKE

THYROID SWELLING

PHARYNGEAL POUCH

SCLERODEMA

HYSTERIA/GLOBUS HYSTERICUS

MEDICATION INDUCED/ RADIATION

HISTORY:

Duration

Suddenly/ Gradually

Progressive

Liquids/ Solids/ Both

How Many Mouthful/ Full Meal

• Any LOA/ LOW
• Bad Odour/ Reflex/ Tummy Apin/ Bowel Motion/ Lumps/Bumps
• Hoarness Of Voice/ URTI/ SOB/ Chest Pain/ Neck Swelling
• Numbness Of Face/ Body
• Bluish Discolouration Of Hands
• Stress/Mood
• Previous Hx Of Ca/ Fam History

SADMA, SOCIAL DETAILS

PE:

General Appearance – BMI, Pale, Dehydration

Vital Signs

Hands – Auto Immune Disease –    Cyanosis

                                                                 Sausage Shaped Digits

               Flapping                 

ENT & Lymph Nodes, Throid

Esophageal Obstruction Test

Indirect Laryngoscope

Chest & Heart Examination

Abdomen

Digital Rectal Examination

Neurology – Cranial N Examination

INVESTIGATION:

FBE ESR/CRP U/E RFT LFT

CXR PA

Barium Swallow

If Endoscopy Normal   ?Dysmotility Disorder

MANAGEMENT:

Cancer – UGIE & BIOPSY

                  Preliminary Contrast Imaging – BARRIUM SWALLOW - Site Of Stricture &                               Extrinsic Compression

CT to Stage

Speech Therapist