12 results
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Sjogren, web • Mid esophagus ... : pill esophagitis ... scleroderma, MCTD, achalasia ... #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... Systemic Sclerosis, Achalasia ... , Eosinophilic esophagitis ... SCVMCMed #Dysphagia #Differential ... solids #liquids #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
of Dysphagia - Differential ... of EG junction: Achalasia ... Hypercontractile Esophagus ... Strictures from esophagitis ... 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 ... EGD and Biopsy Differential ... Pseudomembranous esophagitis ... Necrosis #black #esophagus ... #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Esophagus or Esophageal ... presentation and anatomy ... #Jackhammer #Esophagus ... #Esophageal #Spasm ... #Management #gastroenterology
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Secondary Causes of Esophageal ... ) - Differential ... gastrointestinal disease • Achalasia ... #Differential # ... Secondary #Causes #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Extrinsic to esophagus ... disorder such as achalasia ... #Diagnosis #Management ... #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
two-thirds of the esophagus ... • Jackhammer esophagus ... #diagnosis #management ... #treatment #gastroenterology ... #esophageal #esophagus
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
history of Barrett esophagus ... Complications: • Erosive esophagitis ... Stricture • Barrett esophagus ... Disease #diagnosis #management ... #Gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... High resolution esophageal ... Cindy Ye @EmoryGastroHep ... Diagnosis #Management ... ACG #Guidelines #gastroenterology