Odynophagia physical examination: Difference between revisions
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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> | |||
=== 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 physical examination|Laryngeal Cancer]] | |||
** [[Medullary thyroid cancer physical examination|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== | ==References== | ||
Revision as of 21:56, 4 February 2018
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]
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.