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Dysphagia (true dysphagia (oropharyngeal dysphagia difficulty initiating…

- - - - UMN
        
        stroke
        
        lateral medullary syndrome
        
        MND
      - LMN
        
        MG
      - PD
    - - inadequate salivation
        
        iatrogenic
        
        drugs (anticholinergic - atropine, ipratropium)
        
        sjogren's syndrome (dry eyes)
      - inadequate mastication
        
        poor dentition
      - Zenker's diverticulum (halitosis)
  - - - luminal
        
        esophageal web/ plummer-vinson syndrome
        
        Dysphagia, IDA, esophageal web
        
        malignancy
        
        esophageal cancer
        
        pharyngeal cancer
        
        peptic stricture 2/2 GERD
        
        esophagitis (candida, HSV, CMV)
        - odynophagia
      - intraluminal
        
        Foreign Body
      - extraluminal
        
        vascular ring
        
        thyroid nodules/ thymoma/ lymphoma/ terratoma
        - MG
        
        lung cancer
    - - scleroderma
        
        limited systemic sclerosis - CREST
        
        diffuse systemic sclerosis - GI, heart, lungs, pulmonary HTN
      - achalasia
        
        LES cannot relax
        
        intermittent globus sensation, non-tender
        
        CP, cough, regurgitation
        - NO DYSPHAGIA