Approach to the Pt with Dysphagia - Flowchart
Approach to the Pt with Dysphagia - Flowchart
«Flowchart»

Dysphagia

Dysphagia

Dysphagia

Oropharyngeal dysphagia:Dysphagia localized to neck, nasal regurgitation, aspiration, associated ENT symptoms

Oropharyngeal dysphagia:Dysphagia localized to neck, nasal regurgitation, aspiration, associated ENT symptoms

Oropharyngeal dysphagia: Dysphagia localized to neck, nasal regurgitation, aspiration, associated ENT symptoms Dysphagia localized to neck, nasal regurgitation, aspiration, associated ENT symptoms Oropharyngeal dysphagia

Esophageal dysphagia:Dysphagia localized to chest or neck, food impaction

Esophageal dysphagia:Dysphagia localized to chest or neck, food impaction

Esophageal dysphagia: Dysphagia localized to chest or neck, food impaction Dysphagia localized to chest or neck, food impaction Esophageal dysphagia

Dysphagia

Dysphagia

Dysphagia


Zenker’s diverticulum
Neoplasm
Cervical web
Cricopharyngeal bar
Osteophytes
Congenital abnormalities
Post head and neck surgery
Chemotherapy mucositis
Radiation
Corrosive injury
Infection


Zenker’s diverticulum
Neoplasm
Cervical web
Cricopharyngeal bar
Osteophytes
Congenital abnormalities
Post head and neck surgery
Chemotherapy mucositis
Radiation
Corrosive injury
Infection


Zenker’s diverticulum
Neoplasm
Cervical web
Cricopharyngeal bar
Osteophytes
Congenital abnormalities
Post head and neck surgery
Chemotherapy mucositis
Radiation
Corrosive injury
Infection


Zenker’s diverticulum
Neoplasm
Cervical web
Cricopharyngeal bar
Osteophytes
Congenital abnormalities
Post head and neck surgery
Chemotherapy mucositis
Radiation
Corrosive injury
Infection


GERD with weak peristalsis
Achalasia (primary and secondary)
Diffuse esophageal spasm
Scleroderma


GERD with weak peristalsis
Achalasia (primary and secondary)
Diffuse esophageal spasm
Scleroderma


GERD with weak peristalsis
Achalasia (primary and secondary)
Diffuse esophageal spasm
Scleroderma


GERD with weak peristalsis
Achalasia (primary and secondary)
Diffuse esophageal spasm
Scleroderma

Structural

Structural

Structural

Propulsive

Propulsive

Propulsive


Cerebral vascular
accident
Parkinson’s
Amyotropic lateral
sclerosis
Brainstem tumor
Guillain-Barré
Huntington’s chorea
Post-polio syndrome
Multiple sclerosis
Cerebral palsy


Cerebral vascular
accident
Parkinson’s
Amyotropic lateral
sclerosis
Brainstem tumor
Guillain-Barré
Huntington’s chorea
Post-polio syndrome
Multiple sclerosis
Cerebral palsy


Cerebral vascular
accident
Parkinson’s
Amyotropic lateral
sclerosis
Brainstem tumor
Guillain-Barré
Huntington’s chorea
Post-polio syndrome
Multiple sclerosis
Cerebral palsy


Cerebral vascular
accident
Parkinson’s
Amyotropic lateral
sclerosis
Brainstem tumor
Guillain-Barré
Huntington’s chorea
Post-polio syndrome
Multiple sclerosis
Cerebral palsy

End

End

End

Neurogenic

Neurogenic

Neurogenic

Myogenic

Myogenic

Myogenic


Myasthenia gravis
Polymyositis
Mixed connective tissue disorders
Oculopharyngeal muscular dystrophy
Paraneoplastic syndrome
Myotonic dystrophy
Sarcoidosis


Myasthenia gravis
Polymyositis
Mixed connective tissue disorders
Oculopharyngeal muscular dystrophy
Paraneoplastic syndrome
Myotonic dystrophy
Sarcoidosis


Myasthenia gravis
Polymyositis
Mixed connective tissue disorders
Oculopharyngeal muscular dystrophy
Paraneoplastic syndrome
Myotonic dystrophy
Sarcoidosis


Myasthenia gravis
Polymyositis
Mixed connective tissue disorders
Oculopharyngeal muscular dystrophy
Paraneoplastic syndrome
Myotonic dystrophy
Sarcoidosis

End

End

End

Propulsive: Solid and liquid dysphagia

Propulsive: Solid and liquid dysphagia

Propulsive

Structural: Solid dysphagia

Structural: Solid dysphagia

Structural

End

End

End

End

End

End

Intermittent


Schatzki ring
Esophageal web

Progressive


Neoplasm

Variable


Peptic stricture
Eosinophilic esophagitis
Hiatal hernia
Extrinsic compression
Surgical stenosis
Radiation esophagitis
Ringed esophagus
Congenital esophageal stenosis

Intermittent

Intermittent


Schatzki ring
Esophageal web


Schatzki ring
Esophageal web

Progressive

Progressive


Neoplasm


Neoplasm

Variable

Variable


Peptic stricture
Eosinophilic esophagitis
Hiatal hernia
Extrinsic compression
Surgical stenosis
Radiation esophagitis
Ringed esophagus
Congenital esophageal stenosis


Peptic stricture
Eosinophilic esophagitis
Hiatal hernia
Extrinsic compression
Surgical stenosis
Radiation esophagitis
Ringed esophagus
Congenital esophageal stenosis Intermittent

Odynophagia


Pill esophagitis
Infectious esophagitis
Caustic injury
Chemotherapy mucositis
Sclerotherapy
Crohn’s disease
Behcet’s syndrome
Bullous pemphygoid
Lichen planus

Odynophagia


Pill esophagitis
Infectious esophagitis
Caustic injury
Chemotherapy mucositis
Sclerotherapy
Crohn’s disease
Behcet’s syndrome
Bullous pemphygoid
Lichen planus


Pill esophagitis
Infectious esophagitis
Caustic injury
Chemotherapy mucositis
Sclerotherapy
Crohn’s disease
Behcet’s syndrome
Bullous pemphygoid
Lichen planus Odynophagia