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Doorway Information About Patient

Question 37

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Doorway information about patient
The patient is a 50-year-old man who comes to the office due to difficulty swallowing.
Vital signs
Temperature: 36.7 C (98.1 F)
Blood pressure: 130/90 mm Hg
Pulse: 85/min
Respirations: 16/min
Basic differential diagnosis
Oropharyngeal dysphagia Neuromuscular (stroke, parkinsonism, multiple sclerosis)
Mechanical obstruction (Zenker diverticulum, thyromegaly)
Skeletal muscle disorders (myasthenia gravis, muscular dystrophies, polymyositis)
Miscellaneous (medications, radiation)
Esophageal dysphagia Mechanical obstruction (esophageal carcinoma, benign strictures, webs and rings [Schatzki])
Abnormal motility (achalasia, scleroderma)
Gastroesophageal reflux disease
Miscellaneous (diabetes, alcoholism)

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