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]

lease 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.

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

  1. 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.

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