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Pharyngeal Disease

Disorder Pharyngeal


Presentation

  • The spinal presentation generally includes reduced dexterity, limb weakness, and spasticity, whereas the bulbar presentation includes dysarthria, dysphonia, dysphagia, sialorrhea, muscle atrophy, and fasciculations.[nature.com]
  • Michael's Hospital for suspected sleep apnoea, were invited to participate in the present study.[erj.ersjournals.com]
  • The main clinical presentation of patients with oral, pharyngeal, or esophageal motility disorders is dysphagia.[nature.com]
  • Paper presented at the American Speech-Language-Hearing Association Annual Meeting, 1982 Google Scholar 31.[link.springer.com]
  • The objective of this study was to evaluate retrospectively treatment results in pharyngeal cancers presenting with N2-N3 neck disease, using neck dissection followed by radical locoregional radiotherapy (RT) and to compare these results with those obtained[archive-ouverte.unige.ch]
Fishing
  • (Salt fish ingestion in China .) Nitrosamine. Incidence: male: female 2:1 Age: 5 th decade.[members.tripod.com]
  • Retropharyngeal and epidural abscess from a swallowed fish bone. Am J Emerg Med 1997;15:381-383. 36. Nadal DM, Lyons KM. "Shotgunning" crack cocaine as a potential cause of retropharyngeal abscess. Ear Nose Throat J 1998;77:47-49. 37.[ahcmedia.com]
Nightmare
  • Nightmares. Investigations:- 1. Rigid nasoendoscopy: small telescope (2.4mm) maybe suitable for older children. 2. Post nasal space X-Ray not always helpful. 3. Examination under G.A.[members.tripod.com]
Throat Irritation
  • Pharyngeal hemorrhage Pharyngeal paralysis Pharyngeal spasm Pharyngeal stenosis Pharyngeal ulcer Pharyngitis keratosa Pharyngocutaneous fistula Pharynx or nasopharynx abscess Spasm of the cricopharyngeus muscle Subglottic lesion Swollen nasopharynx Throat[icd9data.com]
  • irritation Ulcer of pharynx ICD-10-CM J39.2 is grouped within Diagnostic Related Group(s) (MS-DRG v 36.0): 011 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with mcc 012 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with[icd10data.com]
  • A person who strains their voice when yelling or speaking for long periods of time may complain of a sore throat. Irritation can also be due to gastro-esophageal reflux, dry heat or pollutants and chemicals such as tobacco smoke.[antimicrobe.org]
Stridor
  • In children less than 1 year old the clinical presentation was usually classical with fever, neck swelling, stridor, and pharyngeal swelling. Significantly fewer children over 1 year had neck swelling and no child over 3 years old had stridor.[adc.bmj.com]
  • In one study, only sitting erect and stridor were useful early predictors of airway compromise in the adult. 98 Other studies include dyspnea, tachypnea, stridor, retractions, and cyanosis as manifestations of advanced disease.[ahcmedia.com]
  • Stridor, airway obstruction or drooling may also occur in patients with significant swelling. On physical examination there may be swelling of the face and neck, with or without erythema of the overlying skin.[antimicrobe.org]
Pharyngeal Hemorrhage
  • hemorrhage Pharyngeal paralysis Pharyngeal spasm Pharyngeal stenosis Pharyngeal ulcer Pharyngitis keratosa Pharyngocutaneous fistula Pharynx or nasopharynx abscess Spasm of the cricopharyngeus muscle Subglottic lesion Swollen nasopharynx Throat irritation[icd9data.com]
Malocclusion
  • . · Dental malocclusion. Eustachion tube obstruction: Glue ears with deafness. Others: Rhinitis. Mental dullness. Nocturnal enuresis. Nightmares. Investigations:- 1. Rigid nasoendoscopy: small telescope (2.4mm) maybe suitable for older children. 2.[members.tripod.com]
Visual Hallucination
  • Neurologic characteristics include fluctuating cognitive ability, visual hallucinations, spontaneous parkinsonism, sleep disturbance, and reduced ability to perform activities of daily living.[nature.com]
Neglect
  • With a supratentorial infarct, symptoms may include ipsilesional hemiparesis, dysarthria, aphasia, and hemispatial neglect.[nature.com]
  • Advocates of oral administration cite the discomfort of an intramuscular injection, but neglect the significant possibility of early vomiting after oral administration.[ahcmedia.com]
Anomia
  • Initial symptoms include decreased recent memory and anomia. As the disease progresses, symptoms include inability to complete activities of daily living, agitation, and mutism.[nature.com]
Speech Deterioration
  • Dworkin J, Hartman D: Progressive speech deterioration and dysphagia in amyotrophic lateral sclerosis: case report. Arch Phys Med Rehab 60 :423–425, 1979 Google Scholar 30.[link.springer.com]
Ataxia
  • Symptoms include liver disease, tremor, rigidity, dystonia, ataxia, dysarthria, and psychiatric disturbances.[nature.com]
Loss of Speech
  • It is generally believed that cognitive functioning is spared; however, formal neuropsychological assessment is often precluded by the patient's loss of speech and motor functions in the later stages of the disease.[nature.com]

Workup

  • Screening for vitamin B 12 deficiency, thyroid dysfunction, and syphilis must be completed in the workup for Alzheimer's disease in order to rule out potential other causes of dementia.[nature.com]
  • See Workup for more detail. Management Prehospital care usually is not necessary for uncomplicated pharyngitis unless airway compromise is an issue. Intubation should not be attempted unless the patient stops breathing spontaneously.[emedicine.medscape.com]
Decreased Central Venous Pressure
  • In healthy subjects, decreasing central venous pressure by impeding venous return to the heart using leg cuff inflation increased upper airway dimensions 25.[erj.ersjournals.com]
Neurofibrillary Tangle
  • Neuritic plaques and neurofibrillary tangles are the neuropathologic hallmarks of AD and result in severe brain atrophy with widened sulci and gyri shrinkage.[nature.com]
White Matter Lesions
  • Vascular risk factors are prominent with infarcts or white matter lesions evident on neuroimaging studies. 6 Top of page Movement Disorders Movement disorders constitute a group of degenerative metabolic disorders of the CNS involving the extrapyramidal[nature.com]

Treatment

  • Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances.[books.google.com]
  • Treatment:- Major task Embolization: to reduce the vascularity preoperatively. Surgery: treatment of choice cross match for several untis of blood.[members.tripod.com]
  • The objective of this study was to evaluate retrospectively treatment results in pharyngeal cancers presenting with N2-N3 neck disease, using neck dissection followed by radical locoregional radiotherapy (RT) and to compare these results with those obtained[archive-ouverte.unige.ch]
  • Because of well-documented treatment failures with cefixime and other oral cephalosporins, the Centers for Disease Control and Prevention now recommends only one regimen for the treatment of gonorrhea: dual treatment with a single intramuscular dose of[mdedge.com]
  • Treatment is antibiotics and surgical drainage. The parapharyngeal (pharyngomaxillary) space is lateral to the superior pharyngeal constrictor and medial to the masseter muscle.[merckmanuals.com]

Prognosis

  • Early pharynx cancer detected incidentally is associated with a relatively good cancer prognosis. Involvement of lymph nodes in the region is associated with a poorer prognosis of the cancer.[myvmc.com]
  • Prognosis: —The prognosis is always favorable, as the disease is readily amenable to treatment. A severe attack, especially in one of feeble constitution, predisposes to future attacks from simple causes.[henriettes-herb.com]
  • Prognosis:- Depends on the stage of the tumour (15% - 75%) Other pharyngeal tissues:- Lymphoma. Salivary gland tumour. Carcomas.[members.tripod.com]
  • The depth of infiltration is predictive of prognosis. T - Primary tumour Oropharynx: TX - primary tumour cannot be assessed. T0 - no evidence of primary tumour. Tis - pre-invasive cancer (carcinoma in situ).[patient.info]
  • Prognosis : dependent on initiating factors (cause). Pathogenesis Etiology Morphological or functional etiology with many causes, including conditions pain, obstruction or muscular/neurological dysfunction.[vetstream.com]

Etiology

  • The etiology is usually infectious, with most cases being of viral origin. These cases are benign and self-limiting for the most part.[web.archive.org]
  • The precise etiology of hypotensive esophagus or hypotensive LES remains unknown in most cases.[nature.com]

Epidemiology

  • It gives compreensive coverage of the epidemiology, aetiology, and mechanism of disease, as well as clear, unambiguous coverage of the diagnosis, practical management and prevention of the entire spectrum of medical disorders.[books.google.com]
  • On the basis of published epidemiologic data, F. necrophorum is esti-mated to cause the Lemierre syndrome—a life-threatening suppu-rative complication—at a higher incidence than that at which group A streptococcus causes acute rheumatic fever.[citeseerx.ist.psu.edu]
  • A secondary aim of the study will be to compare this methodological approach, utilizing a traditional statistical and clinical epidemiological approach, with alternative methods that have been more widely used but strongly criticized by statisticians[clinicaltrials.gov]
  • Comparison of GABHS Guidelines Recommendation ACP (endorsed by the CDC and AAFP) AAP IDSA UKNHS Screening for acute pharyngitis Use Centor criteria (see Figure 1 ) Use clinical and epidemiologic findings to assess patient’s risk of GABHS (e.g., sudden[web.archive.org]
Sex distribution
Age distribution

Pathophysiology

  • There are major introductory sections on the scientific basis of disease; and in the system-based clinical sections genetic predisposition, pathophysiology, pathogenesis, molecular mechanisms, and cell biology are covered in depth for all significant[books.google.com]
  • Based on pathophysiology, motor disorders of the smooth muscle portion of the esophagus and the LES can be due to defects in the inhibitory nerves, excitatory nerves or smooth muscles.[nature.com]
  • Pathophysiology With infectious pharyngitis, bacteria or viruses may directly invade the pharyngeal mucosa, causing a local inflammatory response.[web.archive.org]
  • Good quality research to translate new pathophysiological insights into feasible treatment approaches and to evaluate the efficacy of these new treatments is costly and can take many years.[ghrnet.org]
  • Pathophysiology Pain and obstruction dysphagia by interfering with the mechanics of prehension, the formation of of the food bolus, transfer of the food bolus to the pharynx or deglutition.[vetstream.com]

Prevention

  • It gives compreensive coverage of the epidemiology, aetiology, and mechanism of disease, as well as clear, unambiguous coverage of the diagnosis, practical management and prevention of the entire spectrum of medical disorders.[books.google.com]
  • Adding moisture to the air prevents your mucous membranes from drying out. This can reduce irritation and make it easier to sleep.[web.archive.org]
  • Because of well-documented treatment failures with cefixime and other oral cephalosporins, the Centers for Disease Control and Prevention now recommends only one regimen for the treatment of gonorrhea: dual treatment with a single intramuscular dose of[mdedge.com]
  • The main job of the practitioner is to make an accurate diagnosis and provide appropriate treatment in timely fashion in order to prevent acute rheumatic fever. Related Topics Loading Related Articles[doi.org]
  • Harris AM, Hicks LA, Qaseem A; High Value Care Task Force of the American College of Physicians and for the Centers for Disease Control and Prevention.[nlm.nih.gov]

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