Dysphagia physical examination: Difference between revisions
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{{Dysphagia}} | {{Dysphagia}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{HQ}} | ||
==Overview== | ==Overview== | ||
A | A speech language pathologist is most often the first person called upon to evaluate a patient with suspected dysphagia. During this informal examination, medical history is obtained, the [[mini-mental state examination]] is administered, and oral and facial sensorimotor function, speech, and swallowing are evaluated non-instrumentally. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with dysphagia is dependent on the underlying cause.<ref name="ChoChoung2015">{{cite journal|last1=Cho|first1=S. Y.|last2=Choung|first2=R. S.|last3=Saito|first3=Y. A.|last4=Schleck|first4=C. D.|last5=Zinsmeister|first5=A. R.|last6=Locke|first6=G. R.|last7=Talley|first7=N. J.|title=Prevalence and risk factors for dysphagia: a USA community study|journal=Neurogastroenterology & Motility|volume=27|issue=2|year=2015|pages=212–219|issn=13501925|doi=10.1111/nmo.12467}}</ref> Please click the specified disease below to see the full physical exam. | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with dysphagia usually appear in discomfort. | *Patients with dysphagia usually appear in discomfort. | ||
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* HEENT examination of patients with dysphagia is usually normal. | * HEENT examination of patients with dysphagia is usually normal. | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with dysphagia is usually normal, but may presents with masses or swelling of the neck. | * Neck examination of patients with dysphagia is usually normal, but may presents with masses or swelling of the neck depending on the underlying cause. | ||
** Laryngeal Cancer | ** [[Laryngeal cancer physical examination|Laryngeal Cancer]] | ||
** Thyroid goiters | ** [[Medullary thyroid cancer physical examination|Thyroid goiters]] | ||
** Esophageal cancers | ** Esophageal cancers | ||
===Lungs=== | ===Lungs=== | ||
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* Genitourinary examination of patients with dysphagia is usually normal. | * Genitourinary examination of patients with dysphagia is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with dysphagia is usually | * Neuromuscular examination of patients with dysphagia is usually dependent on the underlying disease. | ||
** [[Ischemic stroke physical examination|Stroke]] | |||
** Stroke | |||
** Neuromuscular disorders | ** Neuromuscular disorders | ||
===Extremities=== | ===Extremities=== | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
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[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
Latest revision as of 21:30, 29 July 2020
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Dysphagia physical examination On the Web |
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American Roentgen Ray Society Images of Dysphagia physical examination |
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Risk calculators and risk factors for Dysphagia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
A speech language pathologist is most often the first person called upon to evaluate a patient with suspected dysphagia. During this informal examination, medical history is obtained, the mini-mental state examination is administered, and oral and facial sensorimotor function, speech, and swallowing are evaluated non-instrumentally.
Physical Examination
Physical examination of patients with dysphagia is dependent on the underlying cause.[1] Please click the specified disease below to see the full physical exam.
Appearance of the Patient
- Patients with dysphagia usually appear in discomfort.
Vital Signs
- Normal
Skin
- Skin examination of patients with dysphagia is usually normal.
HEENT
- HEENT examination of patients with dysphagia is usually normal.
Neck
- Neck examination of patients with dysphagia is usually normal, but may presents with masses or swelling of the neck depending on the underlying cause.
- Laryngeal Cancer
- Thyroid goiters
- Esophageal cancers
Lungs
- Pulmonary examination of patients with dysphagia is usually normal.
Heart
- Cardiovascular examination of patients with dysphagia is usually normal.
Abdomen
Abdominal examination of patients with dysphagia is usually normal.
Back
- Back examination of patients with dysphagia is usually normal.
Genitourinary
- Genitourinary examination of patients with dysphagia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with dysphagia is usually dependent on the underlying disease.
- Stroke
- Neuromuscular disorders
Extremities
- Extremities examination of patients with dysphagia is usually normal.
References
- ↑ Cho, S. Y.; Choung, R. S.; Saito, Y. A.; Schleck, C. D.; Zinsmeister, A. R.; Locke, G. R.; Talley, N. J. (2015). "Prevalence and risk factors for dysphagia: a USA community study". Neurogastroenterology & Motility. 27 (2): 212–219. doi:10.1111/nmo.12467. ISSN 1350-1925.