Symptom Finder - Regurgitation of food through nose
NOSE, REGURGITATION OF FOOD THROUGH
Here again the mnemonic MINT will facilitate the recall of the many possibilities.
M—Malformation brings to mind cleft palate and a congenital short soft palate.
I—Inflammation prompts the recall of disorders that destroy the palate such as syphilis, leprosy, and tuberculosis.
N—Neurologic disorders that paralyze the palate include poliomyelitis, Guillain–Barré syndrome, pseudobulbar palsy, brainstem tumors, and myasthenia gravis.
T—Trauma should make one suspect palatal fenestration from gunshot wounds or surgery, posttonsillectomy weakness, and trauma to the brain stem.
Approach to the Diagnosis
Cleft palate and many other conditions will be diagnosed by a careful nose and throat examination; all that is necessary is a referral to an otolaryngologist. If the local examination is negative, a referral to a neurologist is probably in order. Myasthenia gravis is diagnosed by a
Tension test or acetylcholine receptor antibody titers; an MRI of the brain will diagnose tumors, multiple sclerosis, and other causes of pseudobulbar palsy; and a spinal fluid analysis is necessary to diagnose Guillain–Barré syndrome and poliomyelitis.
Here again the mnemonic MINT will facilitate the recall of the many possibilities.
M—Malformation brings to mind cleft palate and a congenital short soft palate.
I—Inflammation prompts the recall of disorders that destroy the palate such as syphilis, leprosy, and tuberculosis.
N—Neurologic disorders that paralyze the palate include poliomyelitis, Guillain–Barré syndrome, pseudobulbar palsy, brainstem tumors, and myasthenia gravis.
T—Trauma should make one suspect palatal fenestration from gunshot wounds or surgery, posttonsillectomy weakness, and trauma to the brain stem.
Approach to the Diagnosis
Cleft palate and many other conditions will be diagnosed by a careful nose and throat examination; all that is necessary is a referral to an otolaryngologist. If the local examination is negative, a referral to a neurologist is probably in order. Myasthenia gravis is diagnosed by a
Tension test or acetylcholine receptor antibody titers; an MRI of the brain will diagnose tumors, multiple sclerosis, and other causes of pseudobulbar palsy; and a spinal fluid analysis is necessary to diagnose Guillain–Barré syndrome and poliomyelitis.
