Clinical signs

CLINICAL SIGNS

History

  • Regurgitation of food and water
  • weight loss or poor growth
  • hypersalivation and
  • a gurgling sound with swallowing
  • coughing
  • mucopurulent nasal discharge
  • dyspnea with concurrent aspiration pneumonia

Clinical findings

  • Occasionally normal
  • weight loss
  • auscultation of retained fluid and food in the esophagus,
  • halitosis
  • ptyalism
  • bulging of the esophagus at the thoracic inlet
  • pain associated with palpation of the cervical esophagus
  • respiratory crackles
  • tachypnea
  • pyrexia
  • myalgia
  • muscle weakness, muscle atrophy, hyporeflexia
  • proprioceptive and postural deficits
  • autonomic disorders (mydriasis with loss of pupillary light reflex
  • dry nasal and ocular mucous membranes, diarrhea, bradycardia)
  • cranial nerve deficits (especially cranial nerves VI, IX, and X)
  • paresis or paralysis, and mentation changes.
Last modified: Wednesday, 22 February 2012, 5:03 AM