FIGURE 56.2 Evaluation scheme for the child with dysphagia or odynophagia Radiographic and assessment options: neck, chest, abdomen, inspiratory/expiratory films, lateral decubitus films, fluoroscopy (including videofluoroscopy), contrast studies, ultrasonography, echocardiography, angiography, computed tomography, magnetic resonance imaging, esophageal manometry, laryngopharyngeal sensory testing, electromyography, endoscopy Laboratory options: complete blood cell count, blood gas, cultures, toxin identifications, nutritional and electrolyte profile Consultant options: pediatrics, general surgery, otolaryngology, gastroenterology, neurology, infectious disease, cardiology, pulmonology, rheumatology, oncology, nutrition, speech therapy, speech-language pathologist, occupational therapy ABCs, airway, breathing, circulation