11 results
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... Causes of Dysphagia ... Non-relaxation of EG ... junction: Achalasia, EG ... Diagnosis #causes #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... alarm symptoms • Dysphagia ... Testing Ambulatory reflux ... : • Anemia • Dysphagia ... diagnosis #management #Gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... | Esophageal: Peptic ... Esophageal Dysphagia ... structural disorder → EGD ... Diagnosis #Management #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... melena (70%), Dysphagia ... Sepsis Diagnosis EGD ... KBrag_MD #Acute #Esophageal ... diagnosis #management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... reflux resulting ... symptoms include dysphagia ... Diagnosis: - EGD ... diagnosis #management #gastroenterology
Esophageal Dysphagia - History and Diagnosis Algorithm
Solids only - Probably Structural
 - Intermittent, Non-Progressive: Ring and/or
Esophageal Dysphagia ... • Slow +/- reflux ... +/-: Spasm #Esophageal ... #Dysphagia #History ... Diagnosis #Algorithm #gastroenterology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
Gastroesophageal reflux ... gastroesophageal reflux ... disease (GERD), esophageal ... Red Flags: • Dysphagia ... Odynophagia • Dysphonia
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... sphincter to relax ... EGD: • Exclude ... Short duration of dysphagia ... management #treatment #gastroenterology
Los Angeles Classification of Reflux Esophagitis
Accurate endoscopic assessment of reflux esophagitis is vital in making accurate
Classification of Reflux ... assessment of reflux ... involves >75% of the esophageal ... diagnosis #grading #gastroenterology ... #EGD
Fundic gland polyps on Endoscopy
46 yo F. with hx of 8 months of abdominal pain with
poor response to medical ... Women > Men - Dysplasia ... gastric #Endoscopy #EGD ... #clinical #gastroenterology