Dysphagia Differential Diagnosis
Dysphagia
Carcinoma of the Oesophagus
- Progressive dysphagia initially or solids then for liquids
- Associated regurgitation of undigested food
- Loss of weight in spite of good appetite
- Initially LOW then develop LOA may indicate to lower oesophageal CA spreading to Stomach
- Features of local spread -haematemesis and
melaena, hoarseness of voice(CA of upper oesp.), interscapular pain - History of hiccups – Diaphragm irritation
- Features of distant spread
- Neck lumps
- Liver – Jaundice, RHC pain
- Lungs – persistent dry cough, SOB, coughing up of blood
- Brain – Early morning headache vomiting, adult onset seizure
- Bone – intractable backache, bone pain
Benign Oesophageal strictures
- Peptic
- Intermittent progressive dysphagia
- Long Hx of symptoms
- Hx of burning pain which is worse in recumbency / bending down (GORD)
- Other
- Ingestion of corrosive substances
- Exposure to radiation (radiotherapy)
Achalasia
- Dysphagia for solids and liquids both.
- Longer duration of symptoms.
- Liquid >solids, dysphagia relieved by changing posture.
- Can have intermittent dysphagia which later become progressive
- Loss of weight
- Halitosis
- Regurgitation of undigested food specially at night when lying flat.
- Ask for episodes of noturnal cough and aspiration
- High fever,recurrent chest infections
Scleroderma
- Hx of changes in skin, around lips, in fingers , past Hx of renaud’s phenomina
Chest X-ray Interpretation
Chest XRay Interpretation Share this : Hearing Tests Hearing Tests Voice tests and tuning fork tests are easily carried out…
Amyloidosis
Amyloidosis Amyloidosis is a term for a group of diseases that are due to the extracellular deposition of insoluble polymeric…
Dysphagia Differential Diagnosis
Dysphagia Carcinoma of the oesophagus Progressive dysphagia initially or solids then for liquids Associated regurgitation of undigested food Loss of…
Accommodation reflex
Accommodation reflex The process by which the curvature of the lens is increased is called accommodation. At rest, the lens…
Multiple Myeloma
Multiple Myeloma Multiple Myeloma is a malignant disease of bone marrow plasma cells, accounting for 1% of all malignant disease.…
Mesothelioma Book
Mesothelioma Books Mesothelioma is a type of malignancy that develops from a thin layer called Mesothelium. The most common structure…
Our mission is to provide a free, reliable and first-class education to everyone.
Rish Academy is a nonprofit organization.
Every little bit counts and is appreciated.
Find us on
