McNealy-McCallister test

The McNealy-McCallister test is one of the clinical diagnoses of the pharyngeal esophageal diverticulum. It is an examination method that can be determined by the patient with a diphtheria esophageal diverticulum when the body is examined. Most of the pull-out type diverticulum is small and the neck width is narrow, which is good for drainage and is not easy to cause food residue. Therefore, there is generally no symptom, which is often found in a healthy physical examination or in the absence of a change, and has not changed for many years. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: fasting Tips: Pay attention to normal eating habits and pay attention to personal hygiene. Normal value There is no esophagus chamber. Clinical significance The wall of the pharyngeal esophagus protrudes outward, forming a blind pocket with a complete covering epithelium that communicates with the esophageal lumen. Most of them are acquired, and the congenital diverticulum is rare. Abnormal result Clinical manifestations of supraorbital diverticulum: Most patients with small diverticulum can have no symptoms or mild symptoms, and diverticulum with motor dysfunction can have different symptoms such as mild indigestion, retrosternal pain, upper abdominal discomfort and Pain, bad breath, nausea, snoring in the chest, etc., huge sputum on the esophagus to press the esophagus can cause difficulty in swallowing, reflux caused by aspiration. Clinical manifestations of the middle esophagus diverticulum: Most of the diverticulating diverticulum is small and the neck is narrow and narrow, which is conducive to drainage and is not prone to food residues. Therefore, there are generally no symptoms, which are often found in healthy physical examinations or in the absence of any change. Dysphagia and pain occur only when the esophagus is pulled or deformed, and inflammation occurs in the diverticulum. If the diverticulum inflammation, ulcers, necrotic perforation, can cause bleeding, mediastinal abscess, bronchospasm and other complications and corresponding symptoms. Clinical manifestations of pseudo-esophageal diverticulum: Patients often complain of mild dysphagia, with intermittent or slow progression of symptoms. Esophageal pseudo-diverticulum is more common in the five or sixty-year-old age group, more men than women. People who need to be examined: mild indigestion, post-sternal pain, upper abdominal discomfort and pain, bad breath, nausea, snoring in the chest, etc., huge esophageal fistula compression esophagus can cause difficulty in swallowing, reflux caused by aspiration; Diverticulitis, ulcers, necrotic perforation, can cause bleeding, mediastinal abscess, bronchospasm and other symptoms. Precautions Forbidden before examination: Pay attention to normal eating habits and pay attention to personal hygiene. Requirements for inspection: Actively cooperate with the doctor. Inspection process McNealy-McCallister Trial: This simple clinical trial is used to determine the location of the pharyngeal esophageal diverticulum in the neck (side). Method: 1 patient takes the sitting position and faces the examiner; 2嘱 The patient performs the action of swallowing air several times. The examiner places his left thumb on the front of the patient's right neck sternocleidomastoid cartilage horizontally with the thumb backwards. Squeeze; 3 the examiner repeatedly squeezes the corresponding part of the patient's right neck with his right thumb; 4 when the examiner's thumb is squeezed on the neck of the side of the pharyngeal esophagus, due to the compression of the thumb, the diverticulum The inner trachea is discharged through the liquid, so that the examiner can hear the sound of water over the neck of the patient's neck. Not suitable for the crowd Inappropriate crowd: No. Adverse reactions and risks Nothing.