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Lesions of vagus and bilateral superior laryngeal nerves can result in aspiration пїЅ Esophageal Causes: the lesions could lie within the lumen, on the wall, or exterior the wall of esophagus пїЅ Lumen obstruction: Atresia, international physique, strictures, and benign or malignant tumors пїЅ Mucosal infammation: Acute or persistent esophagitis пїЅ Motility problems: fi Hypomotility: Achalasia, scleroderma, and amyotrophic lateral sclerosis fi Hypermotility: Cricopharyngeal spasm and diffuse esophageal spasm пїЅ External stress: fi Hypopharyngeal diverticulum fi Hiatus hernia fi Cervical spines: Osteophytes fi Thyroid: Enlargement, tumors, and thyroiditis fi Mediastinal: tumor, lymph node enlargement, aortic aneurysm, cardiac enlargement fi Vascular rings: Dysphagia lusoria (Fig. Enteric Fever (Typhoid Fever) the use of fuids, vasopressors, and corticosteroids in sep tic shockare mentioned in Chapter 14; administration of dis seminated intravascular coagulation is mentioned in Chapter thirteen antibiotic resistance food chain order terramycin paypal. 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