66 results
Hemimasticatory Spasm on Physical Exam

Hemimasticatory spasm is a disorder of the trigeminal nerve → involuntary jaw
Hemimasticatory ... Spasm on Physical ... Exam Hemimasticatory ... spasm is a disorder ... @bobvarkey #Hemimasticatory
Hemimasticatory Spasm (HMS) on Physical Exam

HMS is characterized by paroxysmal involuntary contractions of the unilateral jaw-closing
Hemimasticatory ... Spasm (HMS) on Physical ... trigeminal nerve #Hemimasticatory ... #Spasm #HMS #PhysicalExam
Left Sided Hemifacial Spasm on Physical Exam

Typically treated with botulinum toxin (Botox)

#Hemifacial #Spasm #PhysicalExam #clinical #video
Sided Hemifacial Spasm ... #Hemifacial #Spasm
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
or Esophageal Spasm ... Esophagus #Esophageal #Spasm
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
stiffness, rigidity, spasm ... emotional upset • Spasms ... death - diaphragm spasm ... of superimposed spasms
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Distal Esophageal Spasm
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Pathophysiology: • Diffuse spasm ... may precipitate spasm
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Diffuse Esophageal Spasm
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Esophageal: - Spasm
Hydrophobia on Physical Examination

Seen in the late stages of rabies.  Caused by painful paroxysmal contractions
contractions and spasms