Ihe diagnosis of the underlying pathology of dysphagia is most often made outside of the emergency department (ED). Ihe workup is dependent on whether transfer or transport dysphagia is thought to be present, as noted above. Initial evaluation of dysphagia in the ED can include anteroposterior (AP) and lateral neck radiographs, which can be helpful in transfer dysphagia and cases where the transport dysfunction seems proximal. Chest radiography should be obtained in most patients thought to have transport dysphagia. Direct laryngoscopy can be used to identify structural lesions.

Ultimately, oropharyngeal dysphagia is best worked up with videoesophagography, a specialized form of a barium swallow study in which videotaped images are reviewed at low-speed playback to allow detailed analysis. Iraditional barium swallow is usually the first test for patients with transport dysphagia. Manometry and esophagoscopy are also employed, depending on the clinical picture. If a foreign body is suspected, the diagnostic workup takes yet another path (see Chap 72,

"Swallowed Foreign Bodies").

Spiritual Weight Loss Mentality

Spiritual Weight Loss Mentality

Awesome Ways To Get Over Your Mentality That Keeps you Overweight! This Book Is One Of The Most Valuable Resources In The World When It Comes To Results In Your Slim-down and Health Efforts! Day in day out we keep ourselves absorbed with those matters that matter the most to us. A lot of times, it might be just to survive and bring in some money. In doing so we at times disregard or forget about the extra matters that are essential to balance our lives. They’re even more essential to supply real meaning to our world. You have to pay attention to your wellness.

Get My Free Ebook

Post a comment