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BRIG ANWAR UL HAQ BRIG ANWAR UL HAQ DYSPHAGIA DYSPHAGIA BRIG ANWAR UL HAQ

Dysphagia

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Page 1: Dysphagia

BRIG ANWAR UL HAQBRIG ANWAR UL HAQ

DYSPHAGIADYSPHAGIA

BRIG ANWAR UL HAQ

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DEFINITION OF DEFINITION OF DYSPHAGIADYSPHAGIA

GREEK DYS - WITH DIFFICULTYPHAGIA - TO EAT

SENSATION OF FOOD BEING HINDEREDIN NORMAL PASSAGE MOUTH - TO - STOMACH

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E:\PRESENTATIONS\Animations\SWALLOWING\Swallowing (deglutition) .flv

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ODYNOPHAGIAODYNOPHAGIA SWALLOWINGSWALLOWING -- PAINPAIN CAUSESCAUSES --

INFLAMATIONSINFLAMATIONS ULCERATIVE LESIONSULCERATIVE LESIONS INFLAMATORY LESIONSINFLAMATORY LESIONS

ORAL CAVITYORAL CAVITY OROPHARYNXOROPHARYNX HYPOPHARYNXHYPOPHARYNX ESOPHAGUS ESOPHAGUS

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CLASSIFICATIONCLASSIFICATION

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NEUROMUSCULAR NEUROMUSCULAR DISEASESDISEASES

1.1. CVACVA2.2. MSMS3.3. MNDMND4.4. POLIOPOLIO5.5. GBSGBS6.6. MYSTHENIA GRAVISMYSTHENIA GRAVIS7.7. NEUROPATHYNEUROPATHY

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OROPHARYNGEAL OROPHARYNGEAL DYSPHAGIADYSPHAGIA

DIFFICULTY IN DIFFICULTY IN PREPARING BOLUSPREPARING BOLUS TRANSPORTING THE FOOD BOLUS TRANSPORTING THE FOOD BOLUS

ORAL CAVITY TO OESOPHAGUS ORAL CAVITY TO OESOPHAGUS ASPIRATION ASPIRATION -- LUNGSLUNGS REGURGITATIONREGURGITATION NOSENOSE

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OESOPHAGEAL OESOPHAGEAL DYSPHAGIADYSPHAGIA

INABILITY TO PASS INABILITY TO PASS UPPER ENDUPPER END -- STOMACHSTOMACH

FOOD STICKING FOOD STICKING THROATTHROAT NECKNECK

DISCOMFORT DISCOMFORT RETRO-STERNALRETRO-STERNAL EPIGASTRIUMEPIGASTRIUM

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DISTURBANCES OF MASTICATIONDISTURBANCES OF MASTICATION

TRISMUSTRISMUS FRACTURES OF JAWFRACTURES OF JAW TUMOURS OF JAWTUMOURS OF JAW TM JOINT DISEASESTM JOINT DISEASES

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DISTURBANCE OF DISTURBANCE OF LUBRICATIONLUBRICATION

XEROSTOMIAXEROSTOMIA RADIOTHERAPYRADIOTHERAPY MIKULICZ DISEASEMIKULICZ DISEASE

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DISEASES OF TONGUE DISEASES OF TONGUE PARALYSIS OF TONGUEPARALYSIS OF TONGUE PAINFUL ULCERSPAINFUL ULCERS TUMOURS OF TONGUETUMOURS OF TONGUE LINGUAL ABSCESSLINGUAL ABSCESS ABSENCE OF TONGUEABSENCE OF TONGUE

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DEFECTS OF PALATEDEFECTS OF PALATE CLEFT PALATECLEFT PALATE ORONASAL FISTULAORONASAL FISTULA LARGE PALATAL TUMOURSLARGE PALATAL TUMOURS

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LESIONS OF BUCCAL CAVITYLESIONS OF BUCCAL CAVITY STOMATITISSTOMATITIS ULCERSULCERS LUDWIGS ANGINALUDWIGS ANGINA TUMOURSTUMOURS

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PHARYNGEAL PHASEPHARYNGEAL PHASE FOOD TOUCHES PHARYNXFOOD TOUCHES PHARYNX REFLEXREFLEX

CLOUSERCLOUSER NASOPHARYNGEAL ISTHMUSNASOPHARYNGEAL ISTHMUS ORAL CAVITYORAL CAVITY LARYNXLARYNX

OPENING OF ESOPHAGUSOPENING OF ESOPHAGUS

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OBSTRUCTIVE LESIONS OF OBSTRUCTIVE LESIONS OF PHARYNXPHARYNX

TONSILSTONSILS -- GROSS GROSS ENLARGEMENTENLARGEMENT

TUMOURSTUMOURS SOFT PALATESOFT PALATE TONGUE BASETONGUE BASE POST PHARYNGEAL WALLPOST PHARYNGEAL WALL EPIGLOTTISEPIGLOTTIS HYPOPHARYNXHYPOPHARYNX

FOREIGN BODIESFOREIGN BODIES

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INFLAMATORY CONDITIONSINFLAMATORY CONDITIONS ACUTE TONSILLITISACUTE TONSILLITIS ABSCESSABSCESS

PERITONSILLARPERITONSILLAR RETROPHARYNGEAL RETROPHARYNGEAL PARAPHARYNGEAL ABSCESSPARAPHARYNGEAL ABSCESS

ACUTE EPIGLOTTITISACUTE EPIGLOTTITIS ACUTE LARYNGITISACUTE LARYNGITIS TONSILLECTOMYTONSILLECTOMY

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INFLAMATORY CONDITIONSINFLAMATORY CONDITIONS ACUTE TONSILLITISACUTE TONSILLITIS ABSCESSABSCESS

PERITONSILLARPERITONSILLAR RETROPHARYNGEAL RETROPHARYNGEAL PARAPHARYNGEAL ABSCESSPARAPHARYNGEAL ABSCESS

ACUTE EPIGLOTTITISACUTE EPIGLOTTITIS ACUTE LARYNGITISACUTE LARYNGITIS TONSILLECTOMYTONSILLECTOMY

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INFLAMATORY CONDITIONSINFLAMATORY CONDITIONS ACUTE TONSILLITISACUTE TONSILLITIS ABSCESSABSCESS

PERITONSILLARPERITONSILLAR RETROPHARYNGEAL RETROPHARYNGEAL PARAPHARYNGEAL ABSCESSPARAPHARYNGEAL ABSCESS

ACUTE EPIGLOTTITISACUTE EPIGLOTTITIS ACUTE LARYNGITISACUTE LARYNGITIS TONSILLECTOMYTONSILLECTOMY

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INFLAMATORY CONDITIONSINFLAMATORY CONDITIONS ACUTE TONSILLITISACUTE TONSILLITIS ABSCESSABSCESS

PERITONSILLARPERITONSILLAR RETROPHARYNGEAL RETROPHARYNGEAL PARAPHARYNGEAL ABSCESSPARAPHARYNGEAL ABSCESS

ACUTE EPIGLOTTITISACUTE EPIGLOTTITIS ACUTE LARYNGITISACUTE LARYNGITIS TONSILLECTOMYTONSILLECTOMY

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SPASMODIC SPASMODIC CONDITIONSCONDITIONS

TETANUSTETANUS RABIESRABIES

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PARALYTIC PARALYTIC CONDITIONSCONDITIONS

DIPHTHERIADIPHTHERIA BULBAR AND PSEUDOBULBAR BULBAR AND PSEUDOBULBAR

PALSYPALSY CVACVA

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ESOPHAGEAL ESOPHAGEAL DYSPHAGIADYSPHAGIA

EXTRALUMINAL CAUSESEXTRALUMINAL CAUSES MURAL CAUSESMURAL CAUSES LUMINAL CAUSESLUMINAL CAUSES

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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EXTRALUMINAL EXTRALUMINAL CAUSES CAUSES 1.1. HYPOPHARYNGEAL DIVERTICULUMHYPOPHARYNGEAL DIVERTICULUM

2.2. LARGE LARYNGEAL POUCHLARGE LARYNGEAL POUCH3.3. HIATUS HERNIAHIATUS HERNIA4.4. CERVICAL OSTEOPHYTESCERVICAL OSTEOPHYTES5.5. THYROID LESIONSTHYROID LESIONS

1.1. GOITREGOITRE2.2. TUMOURSTUMOURS3.3. HASHIMOTO’S THROIDITISHASHIMOTO’S THROIDITIS

6.6. MEDIASTINAL LESIONS MEDIASTINAL LESIONS 1.1. LYMPHADENOPATHYLYMPHADENOPATHY2.2. AORTIC ANEURYSMSAORTIC ANEURYSMS3.3. MEDIASTINAL TUMOURSMEDIASTINAL TUMOURS4.4. TRACHEAL AND BRONCHEAL GROWTHSTRACHEAL AND BRONCHEAL GROWTHS5.5. VASCULAR RINGS – DYSPHAGIA LUSORIAVASCULAR RINGS – DYSPHAGIA LUSORIA

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MURALMURAL1.1. SCLERODERMASCLERODERMA2.2. CHAGA’S DISEASECHAGA’S DISEASE3.3. DIFFUSE ESOPHAGEAL SPASMDIFFUSE ESOPHAGEAL SPASM4.4. ACHALASIAACHALASIA5.5. CARCINOMA OF TH OESOPHAGUSCARCINOMA OF TH OESOPHAGUS6.6. SCARRINGSCARRING

1.1. GERDGERD2.2. CAUSTIC STRICTURECAUSTIC STRICTURE

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MURALMURAL1.1. SCLERODERMASCLERODERMA2.2. CHAGA’S DISEASECHAGA’S DISEASE3.3. ACHALASIAACHALASIA4.4. SCARRINGSCARRING

1.1. GERDGERD2.2. CAUSTIC STRICTURECAUSTIC STRICTURE

5.5. DIFFUSE ESOPHAGEAL SPASMDIFFUSE ESOPHAGEAL SPASM6.6. CARCINOMA OF TH OESOPHAGUSCARCINOMA OF TH OESOPHAGUS

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MURALMURAL1.1. SCLERODERMASCLERODERMA2.2. CHAGA’S DISEASECHAGA’S DISEASE3.3. ACHALASIAACHALASIA4.4. SCARRINGSCARRING

1.1. GERDGERD2.2. CAUSTIC STRICTURECAUSTIC STRICTURE

5.5. DIFFUSE ESOPHAGEAL SPASMDIFFUSE ESOPHAGEAL SPASM6.6. CARCINOMA OF TH OESOPHAGUSCARCINOMA OF TH OESOPHAGUS

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MURALMURAL1.1. SCLERODERMASCLERODERMA2.2. CHAGA’S DISEASECHAGA’S DISEASE3.3. ACHALASIAACHALASIA4.4. SCARRINGSCARRING

1.1. GERDGERD2.2. CAUSTIC STRICTURECAUSTIC STRICTURE

5.5. DIFFUSE ESOPHAGEAL SPASMDIFFUSE ESOPHAGEAL SPASM6.6. CARCINOMA OF TH OESOPHAGUSCARCINOMA OF TH OESOPHAGUS

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MURALMURAL1.1. SCLERODERMASCLERODERMA2.2. CHAGA’S DISEASECHAGA’S DISEASE3.3. ACHALASIAACHALASIA4.4. SCARRINGSCARRING

1.1. GERDGERD2.2. CAUSTIC STRICTURECAUSTIC STRICTURE

5.5. DIFFUSE ESOPHAGEAL SPASMDIFFUSE ESOPHAGEAL SPASM6.6. CARCINOMA OF TH OESOPHAGUSCARCINOMA OF TH OESOPHAGUS7.7. WEB-PLUMBER WINSON SYNDROMWEB-PLUMBER WINSON SYNDROM

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MURALMURAL1.1. SCLERODERMASCLERODERMA2.2. CHAGA’S DISEASECHAGA’S DISEASE3.3. ACHALASIAACHALASIA4.4. SCARRINGSCARRING

1.1. GERDGERD2.2. CAUSTIC STRICTURECAUSTIC STRICTURE

5.5. DIFFUSE ESOPHAGEAL SPASMDIFFUSE ESOPHAGEAL SPASM6.6. CARCINOMA OF TH OESOPHAGUSCARCINOMA OF TH OESOPHAGUS7.7. WEB-PLUMER WINSON SYNDROMWEB-PLUMER WINSON SYNDROM

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MURALMURAL1.1. SCLERODERMASCLERODERMA2.2. CHAGA’S DISEASECHAGA’S DISEASE3.3. ACHALASIAACHALASIA4.4. SCARRINGSCARRING

1.1. GERDGERD2.2. CAUSTIC STRICTURECAUSTIC STRICTURE

5.5. DIFFUSE ESOPHAGEAL SPASMDIFFUSE ESOPHAGEAL SPASM6.6. CARCINOMA OF TH OESOPHAGUSCARCINOMA OF TH OESOPHAGUS7.7. WEB-PLUMER WINSON SYNDROMWEB-PLUMER WINSON SYNDROM

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MURAL - MOTILITYMURAL - MOTILITY HYPERMOTILITYHYPERMOTILITY

CRICOPHARYNGEAL SPASMCRICOPHARYNGEAL SPASM ESOPHAGEAL SPASMESOPHAGEAL SPASM

HYPO MOTILITYHYPO MOTILITY ACHALASIAACHALASIA SCLERODERMASCLERODERMA AMYOTROPHIC SCLEROSISAMYOTROPHIC SCLEROSIS

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INTRALUMINALINTRALUMINAL1.1. FOREIGN BODYFOREIGN BODY2.2. FOOD BOLUSFOOD BOLUS3.3. FUNGATING CARCINOMAFUNGATING CARCINOMA

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INTRALUMINALINTRALUMINAL1.1. FOREIGN BODYFOREIGN BODY2.2. FOOD BOLUSFOOD BOLUS3.3. FUNGATING CARCINOMAFUNGATING CARCINOMA

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MANAGEMENTMANAGEMENT HISTORYHISTORY EXAMINATIONEXAMINATION INVESTIGATIONSINVESTIGATIONS DIAGNOSISDIAGNOSIS TREATMENTTREATMENT

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DysphagiaDysphagia

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DysphagiaDysphagia

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DysphagiaDysphagia

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DysphagiaDysphagia

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MANAGEMENTMANAGEMENT HISTORYHISTORY EXAMINATIONEXAMINATION

GEN PHYSICAL EXAMINATIONGEN PHYSICAL EXAMINATION EXAMINATION OFEXAMINATION OF

ENTENT HEAD & NECKHEAD & NECK CHESTCHEST ABDOMENABDOMEN

INVESTIGATIONSINVESTIGATIONS

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HISTORYHISTORY TAKES LONGER TIME FOR FOODTAKES LONGER TIME FOR FOOD DIFFICULTY IN SWALLOWIGDIFFICULTY IN SWALLOWIG SENSATION OF FOOD STICKINGSENSATION OF FOOD STICKING REGURGITATION OF FOODREGURGITATION OF FOOD COUGHCOUGH PAIN IN SWALLOWINGPAIN IN SWALLOWING DISTINGUISH DISTINGUISH

OROPHARYNGEAL DYSPHAGIAOROPHARYNGEAL DYSPHAGIA OESOPHAGEAL DYSPHAGIAOESOPHAGEAL DYSPHAGIA

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EXAMINATIONEXAMINATION GENERAL PHYSICAL GENERAL PHYSICAL

EXAMINATIONEXAMINATION BUILTBUILT COLOURCOLOUR HANDSHANDS NAILSNAILS SKINSKIN GOITREGOITRE EYESEYES

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EXAMINATIONEXAMINATION EXAMINATION OFEXAMINATION OF

ENTENT ORAL CAVITYORAL CAVITY OROPHARYNXOROPHARYNX HYPOPHARYNXHYPOPHARYNX

IDLIDL FIBRO OPTIC LARYNGOSCOPYFIBRO OPTIC LARYNGOSCOPY

HEAD & NECKHEAD & NECK CHESTCHEST ABDOMENABDOMEN

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EXAMINATIONEXAMINATION EXAMINATION OFEXAMINATION OF

ENTENT HEAD & NECKHEAD & NECK

LYMPH NODESLYMPH NODES GOITREGOITRE

CHESTCHEST INSPECTIONINSPECTION AUSCULTATIONAUSCULTATION

ABDOMENABDOMEN INSPECTIONINSPECTION PALPATION PALPATION PERCUSSIONPERCUSSION

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INVESTIGATIONSINVESTIGATIONS

E:\PRESENTATIONS\Animations\SWALLOWING\Barium Swallow.flv

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INVESTIGATIONSINVESTIGATIONS CBC X RAY CHEST BARIUM STUDIES ENDOSCOPY COMPUTED TOMOGRAPHY

SCANNING ENDOSCOPIC ULTRASOUND ENDOSCOPY ESOPHAGEAL MANOMETRY ESOPHAGEAL PH STUDIES

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TREATMENTTREATMENT

TREATMENT OF TREATMENT OF CAUSECAUSE

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TREATMENTTREATMENT ACUTE TONSILLITISACUTE TONSILLITIS ENLARGED TONSILSENLARGED TONSILS GROWTH TONGUEGROWTH TONGUE EPIGLOTTITISEPIGLOTTITIS CVA – PARALYSIS PHARYNX AND LARYNXCVA – PARALYSIS PHARYNX AND LARYNX CARCINOMA ESOPHAGUSCARCINOMA ESOPHAGUS GOITREGOITRE BRONCHEAL GROWTHBRONCHEAL GROWTH HIATUS HERNIAHIATUS HERNIA PLUMBER WINSON SYNDROMEPLUMBER WINSON SYNDROME

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??

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THANK THANK YOUYOU