Odynophagia physical examination: Difference between revisions
Jump to navigation
Jump to search
Sunny Kumar (talk | contribs) No edit summary |
Sunny Kumar (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{CMG}} {{AE}} {{SKA}} | |||
Following examination finding are required to evaluate the patient of odynophagia: | Following examination finding are required to evaluate the patient of odynophagia: | ||
Revision as of 02:50, 5 February 2018
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]
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.