34 results
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... Sawtooth or seesaw ... Nystagmus can be pendulum ... The pendular shape ... neurologiabr #seesaw
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... can be either pendular ... (seesaw) or jerk ... (semi seesaw). ... Seesaw nystagmus
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Syndrome (SPS) - Diagnosis ... death - diaphragm spasm ... Person Syndrome - Diagnosis ... of superimposed spasms ... Syndrome #SPS #Diagnosis
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
or Esophageal Spasm ... Consider further diagnostics ... Esophagus #Esophageal #Spasm
Infantile Spasms 
Associated with Tuberous Sclerosis 
1) Flexor spasms: Sudden flexion of neck, trunk, arms, and
Infantile Spasms ... Sclerosis 1) Flexor spasms ... 2) Extensor spasms ... Developmental delay Diagnosis ... Peds #Pediatrics #Diagnosis
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... Diffuse Esophageal Spasm ... #Differential #Diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Pathophysiology: • Diffuse spasm ... may precipitate spasm ... troponin elevation Diagnosis ... Angina #cardiology #diagnosis
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric; EEsAl ... EoE #Response #diagnosis
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... Esophageal: - Spasm ... #Differential #Diagnosis
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential Diagnosis ... • Esophageal Spasm ... #Differential #Diagnosis