14 results
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal Dysphagia ... Non-relaxation of EG ... junction: Achalasia ... , EG junction outflow ... Diagnosis #causes #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
, Type II achalasia ... , Type Ill achalasia ... achalasia, IEM, ... Disorders #comparison #table ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... disorder such as achalasia ... 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,
melena (70%), Dysphagia ... Sepsis Diagnosis EGD ... Klebsiella, pneumoniae) Management ... esophagus #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
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... with progressive dysphagia ... puckering of the EGJ ... #Diagnosis #Management ... ACG #Guidelines #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... Disease #diagnosis #management ... #Gastroenterology
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 ... Short duration of dysphagia ... #diagnosis #management ... #treatment #gastroenterology
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
symptoms include dysphagia ... Diagnosis: - EGD ... Necrosis #diagnosis #management ... #gastroenterology