Fist-Sized Radiographic Consolidation in a Man With Difficulty Swallowing

A woman with thoracic outlet syndrome and difficulty swallowing.

CLINICAL HISTORY A 44-year-old right-handed female deputy sheriff was rear ended in an auto accident while stopped at a traffic light. She had her seatbelt on at the time of impact. She experienced immediate pain in the back of her head and neck exiting her car unassisted. On the following day, she consulted with a chiropractor, who prescribed treatment for approximately 2 months, which helped ...

A 14-year-old female with difficulty swallowing.

A14-year-old female presented to the emergency department (ED) for the evaluation of difficulty swallowing. She experienced no headache, visual changes, respiratory abnormalities, unusual ingestions, hematemesis, or bilious vomiting. The rest of her review of symptoms was negative except for dizziness upon standing. Her medical history was significant for seeking medical care at another facilit...

Aspiration due to difficulty in swallowing.

Difficulty in swallowing, with aspiration pneumonia in infancy.

Difficulty in swallowing, starting soon after birth and resulting in aspiration pneumonia, may be due to: pharyngeal incoordination; cerebral palsy; familial dysautonomia; poliomyelitis with bulbar palsy; agenesis of bulbar nuclei; or myasthenia gravis. Pharyngeal incoordination mainly affects premature babies and usually lasts from two to four weeks (Avery, 1964; Scott-Brown, Ballantyne, and G...

Comparison of Videofluoroscopic Swallowing Study and Radionuclide Salivagram for Aspiration Pneumonia in Children With Swallowing Difficulty

Objective To determine whether the use of both videofluoroscopic swallowing study (VFSS) and radionuclide salivagram was beneficial for detecting aspiration-induced pneumonia in children with swallowing difficulty. Methods From 2001 to 2016, children who underwent both VFSS and salivagram consecutively for suspected aspiration or dysphagia were included in the study. Demographic data, finding...