Odynophagia differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Odynophagia should be differentiated from [[dysphagia]] (difficulty in swallowing). There are many causes of odynophagia. They can also be differentiated with help of | Odynophagia should be differentiated from [[dysphagia]] (difficulty in swallowing). There are many causes of odynophagia. They can also be differentiated with help of appropriate H & E and diagnostic procedures. | ||
====== Differentiating odynopaghia from dysphagia: ====== | ====== Differentiating odynopaghia from dysphagia: ====== | ||
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|Pharynx and esophagus | |Pharynx and esophagus | ||
|Motor nerves or esophagus | |Motor nerves or esophagus | ||
|} | |||
====== Odynophagia differentials: ====== | |||
{| class="wikitable" | |||
!Causes | |||
!Pain | |||
!History finding | |||
!Examination finding | |||
!Diagnostic test | |||
|- | |||
|URTI | |||
|Acute pain | |||
|Changed in voice, fever, runny nose | |||
|inflamed oral mucosa, enlarged lymph nodes or tonsils | |||
|Oral swab culture | |||
|- | |||
|Tumors | |||
|Dull Pain | |||
|Loss of weight and appetite, risk factors, may have dysphagia | |||
|swelling may be seen, tumor may spread to lymph nodes | |||
|Endoscopy | |||
|- | |||
|Foreign body | |||
|Acute pain | |||
|History of foreign body intake | |||
|Foreign body may be seen, surrounding area may be inflamed | |||
|Laryngoscopy | |||
|- | |||
|GERD | |||
|Buring pain | |||
|Pain worse at nights,decrease food intake but normal appetite | |||
|oral mucousa normal, mild tender epigastrium | |||
|manomatary | |||
|- | |||
|Esophagitis | |||
|Burning pain | |||
|Resternal pain on swallowing, food aversion, risk factor | |||
|oral mucosa normal | |||
|Endoscopy | |||
|} | |} | ||
Revision as of 16:28, 2 February 2018
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Odynophagia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Odynophagia differential diagnosis On the Web |
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American Roentgen Ray Society Images of Odynophagia differential diagnosis |
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Risk calculators and risk factors for Odynophagia differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Odynophagia should be differentiated from dysphagia (difficulty in swallowing). There are many causes of odynophagia. They can also be differentiated with help of appropriate H & E and diagnostic procedures.
Differentiating odynopaghia from dysphagia:
| Factor | Odynopagia | Dysphagia |
|---|---|---|
| Defination | Pain in swallowing | Inability to start or continue to swallow |
| Pathophysiology | Irritation of sensory nerves | Motor nerves paralysis or mechanical obstruction |
| Involved areas | Pharynx and esophagus | Motor nerves or esophagus |
Odynophagia differentials:
| Causes | Pain | History finding | Examination finding | Diagnostic test |
|---|---|---|---|---|
| URTI | Acute pain | Changed in voice, fever, runny nose | inflamed oral mucosa, enlarged lymph nodes or tonsils | Oral swab culture |
| Tumors | Dull Pain | Loss of weight and appetite, risk factors, may have dysphagia | swelling may be seen, tumor may spread to lymph nodes | Endoscopy |
| Foreign body | Acute pain | History of foreign body intake | Foreign body may be seen, surrounding area may be inflamed | Laryngoscopy |
| GERD | Buring pain | Pain worse at nights,decrease food intake but normal appetite | oral mucousa normal, mild tender epigastrium | manomatary |
| Esophagitis | Burning pain | Resternal pain on swallowing, food aversion, risk factor | oral mucosa normal | Endoscopy |
References