The Clinical Problem Solvers Episode 387 – RLR – Delayed Dysphagia
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Apr 1, 2025 A playful introduction sets the stage for a discussion on innovative medical tools. The spotlight shifts to a comical tale of a dog's chocolate binge that ends in an emergency room visit. Dive into the intricate world of dysphagia, focusing on the critical details of diagnosing swallowing difficulties. Learn about the complexities of esophageal ulcers and the importance of thorough medication histories. The episode wraps up with a deep look at diagnosing oral ulcers, showcasing the need for a nuanced approach in patient care.
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Evaluating Dysphagia
- Consider the tempo of dysphagia onset, as it informs diagnosis and urgency.
- Differentiate between oropharyngeal and esophageal dysphagia, recognizing it's a spectrum.
Dysphagia History Taking
- Ask open-ended questions about the swallowing process, avoiding leading questions.
- Prepare for diagnostic tools like barium swallow, modified barium swallow study, or EGD.
Dysphagia Type Indicators
- Difficulty with solids before liquids suggests a structural issue like a mass.
- Motility issues often present with difficulty swallowing both solids and liquids early on.