16 results
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Diagnosis Algorithm ... Esophageal Dysphagia ... Sjogren, web • Mid esophagus ... #Differential #Diagnosis
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Esophageal Causes of Dysphagia ... - Differential Diagnosis ... Oropharyngeal Dysphagia ... Hypercontractile Esophagus ... #Differential #Diagnosis
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Diagnosis Framework ... Symptom | Diagnosis ... Extrinsic to esophagus ... #Diagnosis #Management
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... chest pain, Sepsis Diagnosis ... Necrosis #black #esophagus ... #diagnosis #management
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Gastrointestinal - Dysphagia ... (upper esophagus ... reflux (lower esophagus ... Dermatomyositis #Diagnosis
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... history of Barrett esophagus ... Reflux #Disease #diagnosis
Jaw Clonus on Physical Exam

A 24-year-old man presented with progressive dysphagia, dysarthria, and weakness in his
with progressive dysphagia ... consistent with a diagnosis ... PhysicalExam #Clinical #Video
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
muscle along the esophagus ... coordinated by medulla #Diagnosis ... Differential #EM #GI #Dysphagia
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... symptoms include dysphagia ... retrosternal chest pain Diagnosis ... distal third of esophagus ... Esophageal #Necrosis #diagnosis
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... : Testing The diagnosis ... two-thirds of the esophagus ... Short duration of dysphagia ... #Achalasia #diagnosis