An Approach to Dysphagia

[@dr.atuchukwubensonazubuike9109]

Thanks for the great lectures. Severely enlarged left atrium is a cause of esophageal dysphagia. It is often associated with chronic rheumatic mitral valve disease.

[@goutamsarker3944]

ortner syndrome

[@mursyidahxa]

This is very helpful for me as a medical student, thanks so much for the video!

[@RT-tn3pu]

Thank you for upload. Very clear concise info on my issue. I've struggled for 3 yrs but just now getting help in solving my problems swallowing.

[@AlienAngel543]

I know I am going to enjoy this.

[@notme2311]

My best teacher From Egypt

[@piwpiw2241]

Always happy with a new notification from ur channel. Thank you sir for everything.

[@abdullahtahir3414]

Excellent videos. Keep up the great work.

[@AbidKhan-qn7wt]

hitting every concept with hammer. so beatiful so eligent just looks like a wow.

[@kgreasy2582]

Thank you very much for this video series! I always look forward to your videos!

[@allaalla18]

You the best Dr 👏

[@nadirabbas8114]

Bundle of thanx for sharing wonderful knowledge

[@youssefkhial6791]

thank you so much .. I suggest you consider doing an "approach to fatigue" video since fatigue is one of the most frequent complains in primary care medicine and also nuanced to diagnose

[@StrongMed]

Thanks for the suggestion! I've had "approach to fatigue" on my to-do list for a while, but ironically it's such a challenging symptom to evaluate that I haven't been satisfied enough with my own approach to add it to the series yet.

[@eupatorusgracilicornis4527]

Thank you ❤❤❤really informative

[@roland.j.ruttledge]

very informative, as ever, many thanks UK

[@gkostuck98]

What would be a result if the EGD was normal and the barium study was abnormal but the p has dysphagia & odynophagia to both liquids and soilds intermittently. Would a physician recommend a manometry or would they find a motility disorder from barium study?

[@nicolerodrigues618]

Thank you sir!

[@ArmanKhan-eo2zn]

Thanks Sir... It would be great if you could make a video on 'Approach to Chronic lower limb pain'

[@infj-tguy6275]

Howdy, i currently cant swallow anything and i need some help on fixing it, a piece of steak caused this crap Do you know of any none hospital visit ways of fixin this i can do at home because ive had no problems with it all year

[@StrongMed]

I'm sorry - I can't offer specific, individualized medical advice here. However, if you still aren't able to swallow anything (your comment was posted 7 hours ago) because food is "stuck" in the esophagus --> that could be a medical emergency, and I recommend going to the ER immediately.

[@daliaal-ansi5630]

Awesome series! Very useful and informative.

[@ArmanKhan-eo2zn]

Suggestions for future videos 1. Approach to Chronic Neck pain 2. Approach to Chronic upper limb pain

[@ryon1942]

thank you sir❤

[@dailydoseofmedicinee]

👐

[@RichardChin-m1u]

Someone can have both right?

[@StrongMed]

Both what? Dysphagia and odynophagia? Yes, they often co-exist. Or esophageal vs. oropharyngeal dysphagia? These can co-exist, but really only by coincidence from having 2 complete different etiologies at the same time leading to the same external symptom (i.e. difficulty swallowing). In short, yes can co-exist, but it's relatively rare.

[@nasal-ingressive]

Unfortunate there was no mention of Speech Language Pathologists, who in Canada and the United States, play a large role in the diagnosis and treatment of Oropharyngeal dysphagia, and are almost always present or facilitating both VFSS/MBS and FEES exams. Additionally it could have been mentioned you didn't have an exhaustive list of Oropharyngeal etiologies. As you failed to include etiologies such as down syndrome, prolonged intubation, vocal fold paralysis or paresis, patients on high flow 02, any mild to severe form of delirium or drowsiness, CP, or wallenberg syndrome, to name a few. I understand your video is targeted to physicians and can't include every detail of everything. But it's imperative we have an interprofessional lens to best help to teach physicians who they can consult to, help gain respect and glean insight to other professions and their scope, and ultimately contribute to better clinical outcomes.

[@StrongMed]

Thank you for watching and commenting. I appreciate your general point - specifically, I agree interprofessional education is an important part of medical training. However, in this video I also don't mention gastroenterologists or radiologists either, or for that matter, nurses or radiology technologists - all of whom play a role in evaluating patients with this symptom. This video series ("An Approach to Symptoms") is focused on abbreviated diagnostic frameworks and diagnostic algorithms, rather than on the medical professionals who perform the relevant tests and assessments. This isn't because these individuals aren't important, but rather because it's just not a focus of the relatively brief videos any more than treatment for the individual etiologies are. Also, this channel has a worldwide audience and which healthcare profession performs which test or procedure is not standardized across all healthcare systems for many such tests and procedures. FWIW, at all 4 hospitals in the US where I've practiced as a physician, our consults to speech-language pathology have consistently exceeded the SLP departments' bandwidth to provide consults (i.e. they are not underutilized) EDIT: I forgot to mention that this channel is not intended just for physicians, but rather for all healthcare professionals and for those in training. I would guess that physicians comprise a small minority of viewers.

[@sumithreddy8629]

Ur fan from India Sir Please make sure u finish all aprroaches part in the initial pages of Harrison