Dysphagia physical examination
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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.