Upload
bilal-asif
View
227
Download
4
Embed Size (px)
Citation preview
7/29/2019 DYSPHAGIA IN ADULTS
1/22
ALI QADEER 08-01
DYSPHAGIA IN
ADULTS
7/29/2019 DYSPHAGIA IN ADULTS
2/22
What is dysphagia?
Dysphagia is a medical symptom
which means difficulty in
swallowing any solid or liquid.
7/29/2019 DYSPHAGIA IN ADULTS
3/22
STAGESOFSWALLOWING.
1. Buccal phase
2. Pharyngeal phase
3. Oesophageal phase
7/29/2019 DYSPHAGIA IN ADULTS
4/22
7/29/2019 DYSPHAGIA IN ADULTS
5/22
CAUSESOFDYSPHAGIAIN
ADULTS
7/29/2019 DYSPHAGIA IN ADULTS
6/22
BUCCAL DYSPHAGIA
Paralysis of the tongue
Immobility of the tongue
Diminished salivation
Oral carcinomas
G
7/29/2019 DYSPHAGIA IN ADULTS
7/22
PHARYNGEAL
DYSPHAGIA
Enlarged tonsilsMalignancies/tumors
Plummer Vinsons syndromeGlobus HystericusImmobility of the larynx
Ludwigs anginaParalysis of the constrictormuscles
7/29/2019 DYSPHAGIA IN ADULTS
8/22
ENLARGEDTONSILS
7/29/2019 DYSPHAGIA IN ADULTS
9/22
Less common conditions are:
Neurotoxins (snake venom)
RadiationAmyotropic lateral sclerosis
OESOPHAGEAL
7/29/2019 DYSPHAGIA IN ADULTS
10/22
OESOPHAGEAL
DYSPHAGIAAchalasiaCarcinoma or Gastric cardia
External compression onesophagus
Oesophagitis
Hiatus herniaOesophageal stricture
Oesophageal web
7/29/2019 DYSPHAGIA IN ADULTS
11/22
7/29/2019 DYSPHAGIA IN ADULTS
12/22
ESOPHAGEALSTRICTURE
7/29/2019 DYSPHAGIA IN ADULTS
13/22
ESOPHAGEALWEB
7/29/2019 DYSPHAGIA IN ADULTS
14/22
Head tumors are alsoone of the pathologywhich can causedysphgia in adults.
7/29/2019 DYSPHAGIA IN ADULTS
15/22
INVESTIGATION
7/29/2019 DYSPHAGIA IN ADULTS
16/22
Chest X-ray: to excludebronchial carcinoma
Ogd (esophagogastroduodenoscopy ): tolook for the presence of anymass.
EndoscopyModified barium swallow/fluoroscopy
7/29/2019 DYSPHAGIA IN ADULTS
17/22
ENDOSCOPY
MODIFIED BARIUM
7/29/2019 DYSPHAGIA IN ADULTS
18/22
MODIFIED BARIUM
SWALLOW
7/29/2019 DYSPHAGIA IN ADULTS
19/22
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.
7/29/2019 DYSPHAGIA IN ADULTS
20/22
Problem area can be
examined.
Treatment can be planned.Best diet for the patient can be
determined.
7/29/2019 DYSPHAGIA IN ADULTS
21/22
7/29/2019 DYSPHAGIA IN ADULTS
22/22
THANKYOU.