786 results
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
diseases that cause esophageal ... food or saliva • Chest ... High-resolution esophageal ... Other esophageal ... endoscopic myotomy [POEM
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
liquids, heart burn, chest ... High resolution esophageal ... Myotomy (LHM) • POEM
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Jackhammer Esophagus or Esophageal ... Management Step 5: POEM ... Jackhammer #Esophagus #Esophageal
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's ... Non-Traversable -> Esophagram ... Fistulizing DX: • Chest ... Waseem_AhmedMD #Esophageal
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Pulmonary Embolism (chest ... Hypertension - Chest ... • Gastro-Esophageal ... Spasm • Esophageal
#POEMS syndrome
#POEMS syndrome
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Threatening Causes of Chest ... Tamponade • Esophageal ... #ChestPain #Chest
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Cardiovascular Causes of Chest ... Pain: • Chest ... Other Causes of Chest ... Mediastinitis • Esophageal
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Another spontaneous esophageal ... underwent VATs and chest ... Endoscopy #EGD #esophageal
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Dysphagia, Epigastric/chest ... KBrag_MD #Acute #Esophageal