Dysphagia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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 usually normal.
  • The mainstay evaluation is by a speech pathologist and a swallowing study.

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.
    • 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 normal.
  • Depending on the underlying disease, dysphagia can occur in:
    • Stroke
    • Neuromuscular disorders

Extremities

  • Extremities examination of patients with dysphagia is usually normal.

References

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