183 results
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Oropharyngeal Dysphagia ... Esophageal Dysphagia ... Sjogren, web • Mid esophagus ... MatthewHoMD #Dysphagia
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Esophageal Causes of Dysphagia ... Oropharyngeal Dysphagia ... Goiter Esophageal Dysphagia ... Hypercontractile Esophagus ... - Functional dysphagia
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... • Solid-food dysphagia ... Extrinsic to esophagus ... ("Transfer dysphagia ... Esophageal Dysphagia
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Gastrointestinal - Dysphagia ... (upper esophagus ... reflux (lower esophagus
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... Necrosis #black #esophagus
Dysphagia Lusoria - A barium-swallow examination revealed posterior oblique indentation of the proximal esophagus (arrow in
Dysphagia Lusoria ... of the proximal esophagus ... Esophagram #CT #Dysphagia
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... history of Barrett esophagus ... Stricture • Barrett esophagus
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
muscle along the esophagus ... Differential #EM #GI #Dysphagia
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... symptoms include dysphagia ... distal third of esophagus
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... two-thirds of the esophagus ... • Jackhammer esophagus ... Short duration of dysphagia ... gastroenterology #esophageal #esophagus