Odynophagia physical examination: Difference between revisions
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Following examination finding are required to evaluate the patient of odynophagia: | Following examination finding are required to evaluate the patient of odynophagia: | ||
Physical examination of patients with odynophagia is dependent on the underlying cause. Please click the specified disease below to see the full physical exam..<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> | Physical examination of patients with odynophagia is dependent on the underlying cause. Please click the specified disease below to see the full physical exam..<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><ref name="pmid29364802">{{cite journal| author=Salgado C, Garcia AM, Rúbio C, Cunha F| title=[Infectious Mononucleosis and Cholestatic Hepatitis: A Rare Association]. | journal=Acta Med Port | year= 2017 | volume= 30 | issue= 12 | pages= 886-888 | pmid=29364802 | doi=10.20344/amp.8715 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29364802 }}</ref><ref name="pmid29318797">{{cite journal| author=So H, Park BH, Jang K, Baek H, Kim YJ| title=Esophagogastric Crohn's Disease Manifested by Life-Threatening Odynophagia and Chest Pain: a Case Report. | journal=J Korean Med Sci | year= 2018 | volume= 33 | issue= 4 | pages= e30 | pmid=29318797 | doi=10.3346/jkms.2018.33.e30 | pmc=5760815 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29318797 }}</ref><ref name="pmid29310719">{{cite journal| author=Eskander A, Monteiro E, O'Connell D, Taylor SM, Canadian Association of Head and Neck Surgical Oncology (CAHNSO)| title=Head and Neck Surgical Oncology Choosing Wisely Campaign: imaging for patients with hoarseness, fine needle aspiration for neck mass, and ultrasound for odynophagia. | journal=J Otolaryngol Head Neck Surg | year= 2018 | volume= 47 | issue= 1 | pages= 2 | pmid=29310719 | doi=10.1186/s40463-017-0251-x | pmc=5759226 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29310719 }}</ref><ref name="pmid29292712">{{cite journal| author=Gonzales Zamora JA, Espinoza LA| title=Histoplasma and Cytomegalovirus Coinfection of the Gastrointestinal Tract in a Patient with AIDS: A Case Report and Review of the Literature. | journal=Diseases | year= 2017 | volume= 5 | issue= 4 | pages= | pmid=29292712 | doi=10.3390/diseases5040030 | pmc=5750541 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29292712 }}</ref><ref name="pmid29276680">{{cite journal| author=Miranda C, Jaker MA, Fitzhugh-Kull VA, Dever LL| title=Oropharyngeal histoplasmosis: The diagnosis lies in the biopsy. | journal=IDCases | year= 2018 | volume= 11 | issue= | pages= 33-35 | pmid=29276680 | doi=10.1016/j.idcr.2017.12.005 | pmc=5738199 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29276680 }}</ref><ref name="pmid29264291">{{cite journal| author=Jalisi S, Jamal BT, Grillone GA| title=Surgical Management of Long-standing Eagle's Syndrome. | journal=Ann Maxillofac Surg | year= 2017 | volume= 7 | issue= 2 | pages= 232-236 | pmid=29264291 | doi=10.4103/ams.ams_53_17 | pmc=5717900 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29264291 }}</ref><ref name="pmid29264290">{{cite journal| author=Jalisi S, Sakai O, Jamal BT, Mardirossian V| title=Features of Prevertebral Disease in Patients Presenting to a Head and Neck Surgery Clinic with Neck Pain. | journal=Ann Maxillofac Surg | year= 2017 | volume= 7 | issue= 2 | pages= 228-231 | pmid=29264290 | doi=10.4103/ams.ams_54_17 | pmc=5717899 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29264290 }}</ref> | ||
=== Appearance of the Patient === | === Appearance of the Patient === | ||
Revision as of 14:48, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Following examination finding are required to evaluate the patient of odynophagia:
Physical examination of patients with odynophagia is dependent on the underlying cause. Please click the specified disease below to see the full physical exam..[1][2][3][4][5][6][7][8]
Appearance of the Patient
- Patients with odynophagia usually appear in discomfort.
Vital Signs
- Normal
- May be feverish and tachycardia in case of inflammation
Skin
- Skin examination of patients with odynophagia is usually normal.
- May have exanthem in case of viremia or bacteriuma.
HEENT
- Head and eyes examination of patients with dysphagia is usually normal.
- ENT examination may revel signs of inflammation as URTI.
- stomatodynia, pain in mouth may possibly accompany oral inflammation.
Neck
- Neck examination of patients with odynophagia 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 odynophagia is usually normal.
Heart
- Cardiovascular examination of patients with odynophagia is usually normal.
- Esophageal spasms – diffuse or nutcracker syndrome may confuse with cardiac causes so it is important to differentiate by performing cariacc exam.
Abdomen
- Abdominal examination of patients with odynophagia is usually normal.
- Epigastric mild tenderness may be appreciated in case of GERD esophageal tears/perforation
Back
- Back examination of patients with odynophagia is usually normal.
- Pain may be felt in patients with Esophageal tears/perforation.
Genitourinary
- Genitourinary examination of patients with dysphagia is usually normal.
Neuromuscular[edit | edit source]
- Neuromuscular examination of patients with odynophagia is usually normal. However in cases of URTI causing meningitis may produce symptoms of meningeal irritation.
Extremities
- Extremities examination of patients with odynophagia 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.
- ↑ Salgado C, Garcia AM, Rúbio C, Cunha F (2017). "[Infectious Mononucleosis and Cholestatic Hepatitis: A Rare Association]". Acta Med Port. 30 (12): 886–888. doi:10.20344/amp.8715. PMID 29364802.
- ↑ So H, Park BH, Jang K, Baek H, Kim YJ (2018). "Esophagogastric Crohn's Disease Manifested by Life-Threatening Odynophagia and Chest Pain: a Case Report". J Korean Med Sci. 33 (4): e30. doi:10.3346/jkms.2018.33.e30. PMC 5760815. PMID 29318797.
- ↑ Eskander A, Monteiro E, O'Connell D, Taylor SM, Canadian Association of Head and Neck Surgical Oncology (CAHNSO) (2018). "Head and Neck Surgical Oncology Choosing Wisely Campaign: imaging for patients with hoarseness, fine needle aspiration for neck mass, and ultrasound for odynophagia". J Otolaryngol Head Neck Surg. 47 (1): 2. doi:10.1186/s40463-017-0251-x. PMC 5759226. PMID 29310719.
- ↑ Gonzales Zamora JA, Espinoza LA (2017). "Histoplasma and Cytomegalovirus Coinfection of the Gastrointestinal Tract in a Patient with AIDS: A Case Report and Review of the Literature". Diseases. 5 (4). doi:10.3390/diseases5040030. PMC 5750541. PMID 29292712.
- ↑ Miranda C, Jaker MA, Fitzhugh-Kull VA, Dever LL (2018). "Oropharyngeal histoplasmosis: The diagnosis lies in the biopsy". IDCases. 11: 33–35. doi:10.1016/j.idcr.2017.12.005. PMC 5738199. PMID 29276680.
- ↑ Jalisi S, Jamal BT, Grillone GA (2017). "Surgical Management of Long-standing Eagle's Syndrome". Ann Maxillofac Surg. 7 (2): 232–236. doi:10.4103/ams.ams_53_17. PMC 5717900. PMID 29264291.
- ↑ Jalisi S, Sakai O, Jamal BT, Mardirossian V (2017). "Features of Prevertebral Disease in Patients Presenting to a Head and Neck Surgery Clinic with Neck Pain". Ann Maxillofac Surg. 7 (2): 228–231. doi:10.4103/ams.ams_54_17. PMC 5717899. PMID 29264290.