DYSPHAGIA IN ADULTS
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Transcript of DYSPHAGIA IN ADULTS
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ALI QADEER 08-01
DYSPHAGIA IN
ADULTS
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What is dysphagia?
Dysphagia is a medical symptom
which means difficulty in
swallowing any solid or liquid.
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STAGESOFSWALLOWING.
1. Buccal phase
2. Pharyngeal phase
3. Oesophageal phase
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CAUSESOFDYSPHAGIAIN
ADULTS
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BUCCAL DYSPHAGIA
Paralysis of the tongue
Immobility of the tongue
Diminished salivation
Oral carcinomas
G
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PHARYNGEAL
DYSPHAGIA
Enlarged tonsilsMalignancies/tumors
Plummer Vinsons syndromeGlobus HystericusImmobility of the larynx
Ludwigs anginaParalysis of the constrictormuscles
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ENLARGEDTONSILS
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Less common conditions are:
Neurotoxins (snake venom)
RadiationAmyotropic lateral sclerosis
OESOPHAGEAL
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OESOPHAGEAL
DYSPHAGIAAchalasiaCarcinoma or Gastric cardia
External compression onesophagus
Oesophagitis
Hiatus herniaOesophageal stricture
Oesophageal web
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ESOPHAGEALSTRICTURE
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ESOPHAGEALWEB
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Head tumors are alsoone of the pathologywhich can causedysphgia in adults.
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INVESTIGATION
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Chest X-ray: to excludebronchial carcinoma
Ogd (esophagogastroduodenoscopy ): tolook for the presence of anymass.
EndoscopyModified barium swallow/fluoroscopy
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ENDOSCOPY
MODIFIED BARIUM
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MODIFIED BARIUM
SWALLOW
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MODIFIED BARIUMSWALLOW
It is the most acceptedprocedure for the assessment
dysphagia. It is done by aRadiologist.
A variety of food is given to
patient and then an X-ray isused to provide information onthe transport of the bolus.
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Problem area can be
examined.
Treatment can be planned.Best diet for the patient can be
determined.
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THANKYOU.