Please enable JavaScript.
Coggle requires JavaScript to display documents.
Esophageal Stricture with Dysphagia TRO Cause - Coggle Diagram
Esophageal Stricture with Dysphagia TRO Cause
Pathophysiology
Esophagitis
Tissue scaring
Narrowing of the esophagus
Esophagus impaired motility
Peristaltic movement of food affected
Malfunctioned Lower Esophageal Sphincter (LES)
Backflow of food from the stomach into the oesphagus
Stomach acid
Erode the esophagus
Travel past the Upper Esophageal Sphincter (UES)
Cause hoarseness of voice
Other current conditions
Diabetes Mellitus
Started in 2019
Currently on Oral Hypoglycemic Agent (OHA)
Left eye cataract
Not keen for cataract eye removal in 2019
History of present illness
Dysphagia x3/12
Dysphagia worsened in 2/52
Could only swallow liquid and blended diet
Currently on nourishing fluid (8 scoops) x4/d
Presented with hoarseness of voice
Weight loss of 10kg in 3 months
No odynophagia
No difficulty in speaking
No nausea and vomiting
No upper respiratory tract symptoms (URTI)
No fever
No contact with Covid-19 positive patients
Past history
Social: She is a housewife
Medical: Diabetes Mellitus and left eye cataract
Surgical: No surgical history before
Patient appears nervous during the interview process
Physical examination findings
Respiratory system
Inspection
No use of accessory muscle in breathing
Anterior posterior diameter of thorax > transverse diameter
Palpation
No lesions palpable
Consistent tactile fremitus from the apex to the base of lungs
Percussion
Resonant felt over the thorax
Auscultation
No adventitious breath sound
Abdomen
Inspection
No abdomen distension and striae
Auscultation
Normal bowel sound, with 5-30 sounds heard per quadrant
Palpation
Soft with no tenderness felt
No complaint of pain during palpation
No palpable lesions
Percussion
Tympany and dullness sound heard