Dysphagia(Difficulty Swallowing),Treatment,Causes,Pathophysiology,Investigations,Types USMLE
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- Опубліковано 13 лип 2020
- Dysphagia(Difficulty Swallowing),Treatment,Causes,Pathophysiology,Investigations,Types USMLE
gastroenterology medicine.this video gives a deep insight on all relevant causes of dysphagia that are tested in USMLE PLAB exams.Evaluation of dysphagia difficulty swallowing regurgitation and all the relevant tests like barium swallow barium study and endoscopy are fully explained in this video.
"Dysphagia is the sensation of difficulty or abnormality of swallowing. It is due to a structural or a motility abnormality in the passage of solids or liquids from the mouth to the stomach. It ranges from an inability to initiate the swallowing reflex to food or liquid being stuck in the oesophagus. In contrast, odynophagia is pain with swallowing."OROPHARYNGEAL DYSPHAGIA
Characterized with difficulty initating swallowing. Also associated with coughing, choking, or aspiration. Pathognomonic symptom is regurgitation. Will point at throat when asked where the food is stuck.
Oral causes of dysphagia generally involves mastication. Therefore cranial nerves trigeminal, glossopharyngeal, and vagus nerve can cause oropharyngeal dysphagia. Low saliva (sjogren's Syndrome) may also lead to oropharyngeal dysphagia.
Pharyngeal causes of dysphagia maybe related to neuromuscular such as cerebrovascular accidents, myasthenia gravis and parkinsons.
Upperesophageal sphincter due to decrease relaxation.
Zenker's diverticulum can also cause dysphagia.
ESOPHAGEAL DYSPHAGIA
Patient can initiate swallowing okay but there is difficulty after swallowing. Food feels like it is stuck in the substernal and need to rule out other causes of chest pain.
Solids and Liquids causing dysphagia are related to motor pathology. Intermittent causes of dysphagia include dysmotility. If progressive then dysphagia may be caused by achalasia and scleroderma. Remember scleroderma also has heartburn as achalasia doesn't.
Solids only dysphagia is caused primarily by obstruction. Non-progressive forms of dysphagia are caused by lower esophgeal rings and webs and esophagitis. Progressive can be caused by stricture (heartburn) or esophageal cancer (anorexia and weight loss).
Please never stop uploading videos...your lectures are very organized.. using flowchart makes it very easy to understand.. thank you
I am very happy that you found my videos helpful. 😊
Teaching is an art, specially complete conception of total & artfull delivery is a rare things. Salute to u.
So much info made so simple and easy to comprehend.
Thank you Dr usman!!
This is actually very brilliant ! The way you classify everything is just AMAZING ! ❤
Thank you very much wahab! ❤️
Jazakallah khair sir ji...you are a great dr i have ever seen😊😊
FANTASTIC VIDEO! thank you🙏
Thoroughly explained , makes the scenarios much easier to do.
Thank you Kamal! I am glad you found it helpful. ❤️
Very good explanation
I only follow Dr fazal no other one✌️he is detailed and precise. Thnx Dr streaming live from Uganda
You made every topic simple and easy to understand.. thanks a lot sir
After many videos i found your video ,a very explained one!!
Thank you very much, this has really helped me today. I am on a mission to finish all your Gastro videos today. God bless you for teaching doc.❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️
Thank you so much ! Well explained
thanks, amazing explanation
Thank you Sir. Really informative.
Great vedio sir thanks
Thankyou so much sir for amazing videos
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Thank you so much vey helpful for understanding 🎉🎉
Thank you so much sir....🙏 I'm a medical student and this video is very helpful for me...
superb🔥🔥
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Special thnx on hepatitis B tutorial✌️
Masha Allah waqas bhai...
Thank you daniyal! ❤️
The best
You are my hero. Thank you.
I am honored but I am only trying my best and I hope to live to the kind words you gave me.
Assalamualaikum may Allah bless you sir , the way you teaches and your humbleness is just woow , ❤ jazak allah khair
You have made it so easy.plz make more videos on git
These are really helpful , Thanks a lot Sir! Could you please let me know which software you are using?
Thank you so much 🙏🏻
You are welcome K sama. I am glad you found it helpful 🙂
Please could you do some nephrology topics like hyponatremia, hypernatremia. Acute and chronic renal failure.
Thank u sir
Dr. Fazal, you our mentor..I just want to listen to you everyday. How may I meet you? Iv even mimicked your voice and trying now your vedios to enable me be confident and learn and share, help or serve humanity better. God bless you
So nice of you. 😊 always welcome
I have a question, what if the dysphagia is progressive from liquid and almost never solid (problem lies with liquid food, like water, and thickenup does not help. Do you have any study or information on such dysphagia? Thank you so much
Psychogenic or Pseudodysphagia/Phagophobia is a rare swallowing condition that is not well
understood with no structural cause or organic disease. The most frequent
symptom seems to
be fear of swallowing or Choking.
Thank you Bilal for sharing such nice piece of information. 😊
Well done bro
Thank you very much Dr nadeem! 😊
please teach the topics of gall bladder medicine (choledocholithiasis, primary biliary and primary sclerosing cholangitis) if possible. 😢
MashAllah ❤️
❤️
Sir ,can you please tell me that which drug are most important For contraction in Pharyngeal during swallowing ?
Best best best
Thnkuu
What about if you do okay with liquids but not solids?
Sir kindly reply how how can i diagnos neurological dysphagia
SIR, CAN YOU KINDLY MAKE A VIDEO ON ECG READING, and various causes of chest pain. Thank you Sir.
Will surely do at my earliest convenience. 😊
@@MedNerdDrWaqasFazal Thank You Sir
❤❤❤❤
Does dysphagia cause diminished taste?
my uncle do not speak clearly and did nlt take food properly is there any treatment sir
13:43 weakest portion of the pharyngeal muscles just above the cricothyroid.
Is thyroid gland enlargement cause dysphagia??
sir, could you please mention the references
You didn't talk about tretment what medication should be given 😢
My issues are just with yogurt/smoothies.