Odynophagia differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Odynophagia should be differentiated from [[dysphagia]] (difficulty in swallowing). There are many causes of odynophagia. They can also be differentiated with help of appropriate H & E and diagnostic procedures. | Odynophagia should be differentiated from [[dysphagia]] (difficulty in swallowing). There are many causes of odynophagia. They can also be differentiated with help of appropriate H & E and diagnostic procedures.<ref name="pmid29128948">{{cite journal| author=Sopeña B, Limeres J, García-Caballero L, Diniz-Freitas M, Seoane J, Diz P| title=A Dramatic Case of Odynophagia. | journal=Dysphagia | year= 2018 | volume= 33 | issue= 1 | pages= 133-135 | pmid=29128948 | doi=10.1007/s00455-017-9861-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29128948 }}</ref><ref name="pmid29124648">{{cite journal| author=Fukuda S, Watanabe N, Domen T, Ishioka M, Sawaguchi M, Ohba R et al.| title=A case of esophageal actinomycosis with a unique morphology presenting as a refractory ulcer. | journal=Clin J Gastroenterol | year= 2018 | volume= 11 | issue= 1 | pages= 38-41 | pmid=29124648 | doi=10.1007/s12328-017-0797-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29124648 }}</ref><ref name="pmid29072250">{{cite journal| author=Chi TH, Hung CC, Chen RF, Yuan CH, Chen JC| title=Spontaneous retropharyngeal emphysema: A case report. | journal=Niger J Clin Pract | year= 2017 | volume= 20 | issue= 9 | pages= 1213-1215 | pmid=29072250 | doi=10.4103/njcp.njcp_3_16 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29072250 }}</ref><ref name="pmid29071486">{{cite journal| author=Jovov B, Reed CC, Shaheen NJ, Pruitt A, Ferrell K, Orlando GS et al.| title=Fragments of e-Cadherin as Biomarkers of Non-erosive Reflux Disease. | journal=Dig Dis Sci | year= 2017 | volume= | issue= | pages= | pmid=29071486 | doi=10.1007/s10620-017-4815-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29071486 }}</ref><ref name="pmid29043549">{{cite journal| author=Althuwaini S, Bamehriz F, Aldohayan A, Alshammari W, Alhaidar S, Alotaibi M et al.| title=Prevalence and Predictors of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy. | journal=Obes Surg | year= 2017 | volume= | issue= | pages= | pmid=29043549 | doi=10.1007/s11695-017-2971-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29043549 }}</ref> | ||
====== Differentiating odynopaghia from dysphagia: ====== | ====== Differentiating odynopaghia from dysphagia: ====== | ||
Revision as of 14:46, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
Odynophagia should be differentiated from dysphagia (difficulty in swallowing). There are many causes of odynophagia. They can also be differentiated with help of appropriate H & E and diagnostic procedures.[1][2][3][4][5]
Differentiating odynopaghia from dysphagia:
| Factor | Odynopagia | Dysphagia |
|---|---|---|
| Defination | Pain in swallowing | Inability to start or continue to swallow |
| Pathophysiology | Irritation of sensory nerves | Motor nerves paralysis or mechanical obstruction |
| Involved areas | Pharynx and esophagus | Motor nerves or esophagus |
Odynophagia differentials:
| Causes | Pain | History finding | Examination finding | Diagnostic test |
|---|---|---|---|---|
| URTI | Acute pain | Changed in voice, fever, runny nose | inflamed oral mucosa, enlarged lymph nodes or tonsils | Oral swab culture |
| Tumors | Dull Pain | Loss of weight and appetite, risk factors, may have dysphagia | swelling may be seen, tumor may spread to lymph nodes | Endoscopy |
| Foreign body | Acute pain | History of foreign body intake | Foreign body may be seen, surrounding area may be inflamed | Laryngoscopy |
| GERD | Buring pain | Pain worse at nights,decrease food intake but normal appetite | oral mucousa normal, mild tender epigastrium | manomatary |
| Esophagitis | Burning pain | Resternal pain on swallowing, food aversion, risk factor | oral mucosa normal | Endoscopy |
References
- ↑ Sopeña B, Limeres J, García-Caballero L, Diniz-Freitas M, Seoane J, Diz P (2018). "A Dramatic Case of Odynophagia". Dysphagia. 33 (1): 133–135. doi:10.1007/s00455-017-9861-8. PMID 29128948.
- ↑ Fukuda S, Watanabe N, Domen T, Ishioka M, Sawaguchi M, Ohba R; et al. (2018). "A case of esophageal actinomycosis with a unique morphology presenting as a refractory ulcer". Clin J Gastroenterol. 11 (1): 38–41. doi:10.1007/s12328-017-0797-1. PMID 29124648.
- ↑ Chi TH, Hung CC, Chen RF, Yuan CH, Chen JC (2017). "Spontaneous retropharyngeal emphysema: A case report". Niger J Clin Pract. 20 (9): 1213–1215. doi:10.4103/njcp.njcp_3_16. PMID 29072250.
- ↑ Jovov B, Reed CC, Shaheen NJ, Pruitt A, Ferrell K, Orlando GS; et al. (2017). "Fragments of e-Cadherin as Biomarkers of Non-erosive Reflux Disease". Dig Dis Sci. doi:10.1007/s10620-017-4815-4. PMID 29071486.
- ↑ Althuwaini S, Bamehriz F, Aldohayan A, Alshammari W, Alhaidar S, Alotaibi M; et al. (2017). "Prevalence and Predictors of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy". Obes Surg. doi:10.1007/s11695-017-2971-4. PMID 29043549.