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\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{med\_panda}
\pdfinfo{
  /Title (hx-dysphagia.pdf)
  /Creator (Cheatography)
  /Author (med\_panda)
  /Subject (Hx: Dysphagia Cheat Sheet)
}

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% This two commands together give roughly
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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
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% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Hx: Dysphagia Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{med\_panda} via \textcolor{DarkBackground}{\uline{cheatography.com/184394/cs/39100/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}med\_panda \\
  \uline{cheatography.com/med-panda} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 5th June, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{HPC}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Duration-hours / days / weeks / months  /years \newline % Row Count 1 (+ 1)
Site: where does food get stuck? \newline % Row Count 2 (+ 1)
Solids or liquids or both : Solid only (mechanical problem –narrow lumen )  \newline % Row Count 4 (+ 2)
Both (neuromuscular , motor problem e.g.: Achalasia)  \newline % Row Count 6 (+ 2)
Nature: progressive-slow  (stricture or obstruction) or rapid (cancer)  or intermittent (esophageal spasm, rings, webs) \newline % Row Count 9 (+ 3)
When does this happen:  initiating , after initiating  \newline % Row Count 11 (+ 2)
Aggravating/relieving factors% Row Count 12 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Aims of history \newline  determine whether dysphagia is actually present (i.e. distinct from globus sensation  \newline  establish whether the site of the problem is esophageal or oropharyngeal \newline distinguish between a structural and a motor abnormality.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Associated symptoms}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- have this sensation without swallowing food? True dysphagia \newline % Row Count 2 (+ 2)
- feel a lump in your throat? Globus \newline % Row Count 3 (+ 1)
 - feel the food going down when you swallow? Oropharyngeal or esophageal \newline % Row Count 5 (+ 2)
- Symptoms relieved by repeated swallow: Motor disorders \newline % Row Count 7 (+ 2)
- need to take a drink after swallowing solids? - To breakdown food may indicate obstruction \newline % Row Count 9 (+ 2)
- Have to cut food into small pieces?	 \newline % Row Count 10 (+ 1)
- Coughing/choking – oropharyngeal dysphagia \newline % Row Count 11 (+ 1)
- Odynophagia-esophageal inflammation \newline % Row Count 12 (+ 1)
- Chest pain/discomfort, heartburn \newline % Row Count 13 (+ 1)
- \seqsplit{Regurgitation/reflux/gurgling/spluttering} : GERD \newline % Row Count 15 (+ 2)
- have to vomit occasionally when swallowing? If so, when? Regurgitation	 \newline % Row Count 17 (+ 2)
 - have too much saliva or phlegm in your throat? Partial obstruction \newline % Row Count 19 (+ 2)
 - have problems swallowing your saliva? Neuromuscular causes/oropharyngeal \newline % Row Count 21 (+ 2)
- Sensitivity to hot or cold : Motor disorders/spasm \newline % Row Count 23 (+ 2)
{\bf{If yes to any of the features above when does it happen: initiation of swallow, immediately after or long after}} \newline % Row Count 26 (+ 3)
- Fever \newline % Row Count 27 (+ 1)
- Halitosis-pharyngeal pouch \newline % Row Count 28 (+ 1)
- Dysphonia (pain/difficulty speaking) – muscle dystrophy \newline % Row Count 30 (+ 2)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Associated symptoms (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- Voice hoarseness- mass impinging on recurrent laryngeal nerve \newline % Row Count 2 (+ 2)
- Speech changes-neuromuscular disorders \newline % Row Count 3 (+ 1)
- Weight loss – duration, how much weight loss, malignancy \newline % Row Count 5 (+ 2)
 have to vomit occasionally when swallowing? If so, when? Regurgitation	 \newline % Row Count 7 (+ 2)
 - have too much saliva or phlegm in your throat? Partial obstruction \newline % Row Count 9 (+ 2)
 - have problems swallowing your saliva? Neuromuscular causes/oropharyngeal \newline % Row Count 11 (+ 2)
- Sensitivity to hot or cold : Motor disorders/spasm% Row Count 13 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Alarming feature}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- Weight loss \newline % Row Count 1 (+ 1)
- Bleeding: hematemesis \newline % Row Count 2 (+ 1)
- Advance age \newline % Row Count 3 (+ 1)
(often indicates malignancy/cancer)% Row Count 4 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{PH}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- Did you have this before? \newline % Row Count 1 (+ 1)
- Have you ever been admitted to the hospital or came to the hospital for any conditions regarding your throat or neck? \newline % Row Count 4 (+ 3)
- Any previous surgeries for certain marts of your throat or neck or spine? \newline % Row Count 6 (+ 2)
- Any long standing diseases related to your muscles or your nerves% Row Count 8 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{HDA}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- Are you currently taking any medication? \newline % Row Count 1 (+ 1)
note: drugs that reduce salivary secretion such as anticholinergics and anti histamine eg. anti emetics \newline % Row Count 4 (+ 3)
- Do you have any allergies?% Row Count 5 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{FH}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- Does anyone in your family have or had something similar? \newline % Row Count 2 (+ 2)
- Do you know anyone in your family who may have suffered from cancer? or terminal illness% Row Count 4 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{FH}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- Does anyone in your family have or had something similar? \newline % Row Count 2 (+ 2)
- Do you know anyone in your family who may have suffered from cancer? or terminal illness% Row Count 4 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{SH}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{- Are you married? \newline % Row Count 1 (+ 1)
- What do you do for work? (radiation exposure) \newline % Row Count 2 (+ 1)
- Do you smoke? Does anyone at home smoke? \newline % Row Count 3 (+ 1)
- Do you drink alcohol? \newline % Row Count 4 (+ 1)
- What does your diet usually consist of? solids, liquids, hot, cold?% Row Count 6 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Pain while swallowing (ODYNOPHAGIA)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{**Symptoms suggest deep inflammation or ulceration of the esophageal wall or intense spasm of the esophagus \newline % Row Count 3 (+ 3)
- Infection \newline % Row Count 4 (+ 1)
- Malignancy \newline % Row Count 5 (+ 1)
- Cigarette smoking/ Alcohol \newline % Row Count 6 (+ 1)
- Aspirin/ Non steroidal anti inflammatory drugs (NSAID's) \newline % Row Count 8 (+ 2)
{\bf{Socrates/OPQRSTU}}% Row Count 9 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}