Dysphagia Mnemonic (difficulty swallowing) – BEST USMLE Step 2 CS Mnemonics

Dysphagia Mnemonic (difficulty swallowing):

Having trouble remembering all the important questions to ask during your patient encounter? Then try this Dysphagia Mnemonic (difficulty swallowing) for USMLE Step 2 CS.

Dysphagia Mnemonic (difficulty swallowing) - BEST USMLE Step 2 CS Mnemonics - Medical Institution

Dysphagia Mnemonic (difficulty swallowing) USMLE Step 2 CS Mnemonics

PHYSICAL EXAMINATION Dysphagia mnemonic

NOTE: Make sure to wash your hands or wear gloves before you start physical examination. Make sure to ask for permission before you start each physical exam. Make sure to use proper draping (don’t forget to tie back patient’s gown). Make sure to explain each physical examination in layman’s term to your patient. Do NOT repeat painful maneuvers.

DIFFERENTIAL DIAGNOSIS

  • Esophageal cancer (Dysphagia starts with Solids and progresses to liquids. Hx of chronic alcoholism, smoking & weight loss )
  • Achalasia (Dysphasia for BOTH solid and liquids)
  • Esophagitis (Pain on swallowing. Immunocompromised “e.g. HIV, Corticosteroids”)
  • Systemic Sclerosis (Look for CREST syndrome)
  • Gastroesophageal Reflux Disease ‘GERD’ (Cough at nights, Hoarseness, sore throat)
  • Plummer-Vinson syndrome (Iron deficiency anemia, sore throat, craving ice, dirt, clay…)
  • Zenker diverticulum (Halitosis, regurgitation)
  • Pill-induced esophagitis (e.g. Bisphosphonates)
  • Mitral Stenosis (look for an immigrant or a pregnant female)

DIAGNOSTIC WORKUP

  • CBC
  • Serum iron, ferritin, TIBC
  • Throat culture
  • HIV antibody and viral load, CD4 count
  • Chest X-ray
  • Barium swallow
  • Endoscopy
  • Esophageal manometry 
  • Chest CT




Dysphagia Mnemonic (difficulty swallowing) - BEST USMLE Step 2 CS Mnemonics
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