TAILIEUCHUNG - Chapter 038. Dysphagia (Part 6)

Chest pain with dysphagia occurs in DES and related motor disorders. Chest pain resembling DES may occur in esophageal obstruction due to a large bolus. A prolonged history of heartburn and reflux preceding dysphagia indicates peptic stricture. A history of prolonged nasogastric intubation, ingestion of caustic agents, ingestion of pills without water, previous radiation therapy, or associated mucocutaneous diseases may provide the cause of esophageal stricture. If odynophagia is present, candidal, herpes, or pill-induced esophagitis should be suspected. In patients with AIDS or other immunocompromised states, esophagitis due to opportunistic infections such as Candida, herpes simplex virus, or cytomegalovirus and. | Chapter 038. Dysphagia Part 6 Chest pain with dysphagia occurs in DES and related motor disorders. Chest pain resembling DES may occur in esophageal obstruction due to a large bolus. A prolonged history of heartburn and reflux preceding dysphagia indicates peptic stricture. A history of prolonged nasogastric intubation ingestion of caustic agents ingestion of pills without water previous radiation therapy or associated mucocutaneous diseases may provide the cause of esophageal stricture. If odynophagia is present candidal herpes or pill-induced esophagitis should be suspected. In patients with AIDS or other immunocompromised states esophagitis due to opportunistic infections such as Candida herpes simplex virus or cytomegalovirus and to tumors such as Kaposi s sarcoma and lymphoma should be considered. PHYSICAL EXAMINATION Physical examination is important in oral and pharyngeal motor dysphagia. Signs of bulbar or pseudobulbar palsy including dysarthria dysphonia ptosis tongue atrophy and hyperactive jaw jerk in addition to evidence of generalized neuromuscular disease should be sought. The neck should be examined for thyromegaly or a spinal abnormality. A careful inspection of the mouth and pharynx should disclose lesions that may interfere with passage of food. Pulmonary complications such as acute or chronic aspiration pneumonia may be present. Physical examination is often unrevealing in esophageal dysphagia. Changes in the skin and extremities may suggest a diagnosis of scleroderma and other collagen vascular diseases or mucocutaneous diseases such as pemphigoid or epidermolysis bullosa which may involve the esophagus. Cancer spread to lymph nodes and liver may be evident. DIAGNOSTIC PROCEDURES Dysphagia is usually a symptom of organic disease rather than a functional complaint. If oral or pharyngeal dysphagia is suspected VFSS by both a radiologist and a swallow therapist is the procedure of choice. Videoendoscopy is currently performed only in specialized .

• Y học thường thức
• Dysphagia
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• BMC Anesthesiology
• Cardiac care unit
• Developed dysphagia
• Predicting dysphagia
• Critically ill patients
• Cardiac surgery
• Document Dysphagia
• Introduction and key points
• Disease burden and epidemiology
• Causes of dysphagia
• Clinical diagnosis
• Treatment options
• Useful web sites and guidelines
• BMC Cancer
• Pharyngeal cancer
• Dysphagia optimised intensity modulated radiotherapy
• Pharyngeal constrictor muscle
• Supraglottic larynx
• BMC Musculoskeletal Disorders
• Occipitocervical fusion
• Postoperative dysphagia
• Pharyngeal inlet angle
• Narrowest oropharyngeal airway space
• Oesophageal cancer
• Curative treatment
• Dysphagia swallowing rehabilitation
• Swallow exercises
• báo cáo khoa học
• báo cáo y học
• công trình nghiên cứu về y học
• tài liệu về y học
• cách trình bày báo cáo
• enhanced computerized
• tomographic (CECT)
• dysphagia showing
• needle aspirate
• mycobacterial lymphadenitis
• Nontuberculous
• equally affected
• Constitutional
• fibrosis and calcification
• medical books
• pharmacology
• epidemiologic
• Obstetrics
• anatomy
• Preventing Morbidity
• Multidisciplinary Care