9 results
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Diagnosis Algorithm ... ): stroke, NMJ disorders ... Sjogren, web • Mid esophagus ... #Differential #Diagnosis ... #Esophageal #gastroenterology
Esophageal dysphagia - Mechanical Obstruction vs Neuromuscular Disorder #Diagnosis #GI #SpeechPathology #Esophageal #Dysphagia #Algorithm #ALiEM
Esophageal dysphagia ... Neuromuscular Disorder ... #Diagnosis #GI ... SpeechPathology #Esophageal #Dysphagia ... #Algorithm #ALiEM
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Diagnosis Framework ... Symptom | Diagnosis ... Extrinsic to esophagus ... #Diagnosis #Management ... #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... chest pain, Sepsis Diagnosis ... mlVF, PPI gtt, GI ... Necrosis #black #esophagus ... #gastroenterology
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
muscle along the esophagus ... coordinated by medulla #Diagnosis ... Differential #EM #GI ... #Dysphagia #Oropharyngeal ... #Differential #Ddxof
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... alarm symptoms • Dysphagia ... exclude motility disorders ... : • Anemia • Dysphagia ... #management #Gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
• Ascites • GI ... obstruction (CIPO) Disorders ... Abdomino-phrenic Dyssynergia Diagnostics ... Bloating #Management #Diagnosis ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... melena - Other GI ... symptoms include dysphagia ... distal third of esophagus ... #management #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Neurodegenerative disorders ... Presentation: • Dysphagia ... : Testing The diagnosis ... #Achalasia #diagnosis ... management #treatment #gastroenterology