563 results
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
or Esophageal Spasm ... Esophagus #Esophageal #Spasm ... #Management #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
Distal Esophageal Spasm ... Motility #Disorders #gastroenterology
Corkscrew Esophagus of Diffuse Esophageal Spasm seen on Fluoroscopy

#Corkscrew #Esophagus #Esophageal #Spasm #Fluoroscopy #clinical #gastroenterology #contrast
Diffuse Esophageal Spasm ... Esophagus #Esophageal #Spasm ... Fluoroscopy #clinical #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Diffuse Esophageal Spasm ... solids #liquids #gastroenterology
Esophageal Dysphagia - History and Diagnosis Algorithm
Solids only - Probably Structural
 - Intermittent, Non-Progressive: Ring and/or
Regurgitation+/-: Spasm ... Diagnosis #Algorithm #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Peristalsis, Esophageal Spasm ... Diagnosis #causes #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Distal esophageal spasm ... comparison #table #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Diffuse esophageal spasm ... Diagnosis #Management #gastroenterology
Molluscum Contagiosum 
Clinical 
 • Most common in school-age children 
 • Transmitted by direct contact
extremities • Spares ... the palms and soles
Left Sided Hemifacial Spasm on Physical Exam

Typically treated with botulinum toxin (Botox)

#Hemifacial #Spasm #PhysicalExam #clinical #video
Sided Hemifacial Spasm ... #Hemifacial #Spasm