12 results
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility Disorders ... achalasia, IEM, ... Esophageal #Motility #Disorders ... #comparison #table ... #gastroenterology
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Esophageal Motility Disorders ... Achalasia EGJ ... Esophageal #Motility #Disorders ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
such as achalasia ... or neurologic disorders ... → EGD Treatment ... Differential #Diagnosis #Management ... #gastroenterology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
scaphoid fracture • ED ... Management: Pain ... II-IV, pending orthopedic ... MetroHealth_EM #RadialHead ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
injury (LCL) • ED ... Management: Pain ... • If stable ... DC with orthopedic ... #Orthopedics #Proximal
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... failure + negative EGD ... exclude motility disorders ... Disease #diagnosis #management ... #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Neurodegenerative disorders ... sphincter to relax EGD ... esophageal motility disorders ... #diagnosis #management ... #treatment #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... of Achalasia - ... puckering of the EGJ ... #Diagnosis #Management ... ACG #Guidelines #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Bleed (Other than EGD ... endoscopy • Able ... Bleed #GIBleed #management ... #gastroenterology ... #table #imaging
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... : • ACHALASIA BALLOON ... patients with achalasia ... #accessories #EGD