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..[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.