Get this App offline and editable on your phone

iPhone & iPad | Android | PC | Mac

Odynophagia

  • Common ddx

    • esophagitis (candida, GERD, chemical), pharyngitis, esophageal spasm
  • Serious ddx

    • Ludwig's angina, peritonsillar abscess, retropharyngeal abscess, oral cancer
  • Labs

    • neck CT
    • endoscopy
    • HIV testing if candida in otherwise healthy, young pt
  • Pediatric ddx

    • foreign body, epiglottitis
  • HPI

    • onset
    • triggering event
    • quality: sharp, dull, achy
    • pain only (odynophagia) vs food getting stuck (dysphagia)
    • severity
    • aggravation, alleviation
  • ROS

    • fever, weight loss
    • cardiopulm: chest pain, dyspnea
    • GI: abdominal pain, nausea, vomiting, diarrhea, blood in stool
  • PMH

    • GERD, HIV
  • FH

  • SH

    • smoking
    • ingestion of chemicals
  • Meds

  • Allergies

  • Px

    • vitals: fever
    • gen impression
    • voice: hoarse, muffled
    • oral: swelling, exudates, lesions, candida, uvula deviation
    • neck: mass
    • cardio, pulm, abd
  • Tx

    • trial of nystatin mouth wash or fluconazole if candidiasis

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.