Odynophagia physical examination

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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.. 

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

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