13 results
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
- Differential Diagnosis ... Sjogren, web • Mid esophagus ... scleroderma, MCTD, achalasia ... #Differential #Diagnosis ... #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Esophagus or Esophageal ... Consider further diagnostics ... #Jackhammer #Esophagus ... #Esophageal #Spasm ... #Management #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Physiology: EGJ, Distal Esophagus ... obstruction, Distal esophageal ... comparison #table #gastroenterology ... #diagnosis
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... of EG junction: Achalasia ... Hypercontractile Esophagus ... #Differential #Diagnosis ... #causes #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Caustic Esophageal Injuries

Dr. Chandana Sri @santalum_aurum

#Caustic #Esophageal #Injuries #esophagus #diagnosis #management #surgery #gastroenterology
Caustic Esophageal ... santalum_aurum #Caustic #Esophageal ... #Injuries #esophagus ... #diagnosis #management ... #surgery #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Framework Symptom | Diagnosis ... Extrinsic to esophagus ... disorder such as achalasia ... #Management #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Barium Contrast Esophagram ... LES since the esophagus ... #Types #radiology ... #gastroenterology ... barium #contrast #Esophagram
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... two-thirds of the esophagus ... #diagnosis #management ... #treatment #gastroenterology ... #esophageal #esophagus
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... retrosternal chest pain Diagnosis ... distal third of esophagus ... #Necrosis #diagnosis ... #management #gastroenterology