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Achalasia Summary Epidemiology: 10 cases per 100,000 individuals Defined by inadequate relaxation of the LES and aperistalsis Primary or
diseases that cause esophageal ... saliva • Chest pain ... High-resolution esophageal ... Other esophageal ... endoscopic myotomy [POEM
Diagnosis and Management of Achalasia - ACG Guidelines Who to suspect? • Patients presenting with progressive dysphagia
heart burn, chest pain ... 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
#POEMS syndrome
#POEMS syndrome
Life Threatening Causes of Chest Pain - Differential Diagnosis Table • ACS • Aortic Dissection •
Causes of Chest Pain ... Tamponade • Esophageal ... ChestPain #Chest #Pain
Chest Pain - Differential Diagnosis Algorithm Cardiovascular Causes: - Outflow Obstruction • Aortic
Chest Pain - Differential ... Embolism (chest pain ... • Gastro-Esophageal ... Pancreatitis • Esophageal ... Spasm • Esophageal
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Chest Pain - Differential ... Causes of Chest Pain ... Causes of Chest Pain ... Causes of Chest Pain ... Mediastinitis • Esophageal
Esophageal Necrosis Etiology: - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events - Associated
Esophageal Necrosis ... state) predisposes esophageal ... retrosternal chest pain ... prevent further esophageal ... retrosternal or back pain
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 ... Waseem_AhmedMD #Esophageal
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Acute Esophageal ... Epigastric/chest pain ... KBrag_MD #Acute #Esophageal
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