51 results
Nutcracker Esophagus on Endoscopy

#Nutcracker #Esophagus #Endoscopy #clinical #video #gastroenterology #EGD
Nutcracker Esophagus ... #Nutcracker #Esophagus ... Endoscopy #clinical #video ... gastroenterology #EGD
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential ... Non-relaxation of EG ... junction: Achalasia, EG ... Hypercontractile Esophagus ... #Differential #
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 ... and Biopsy Differential ... Necrosis #black #esophagus
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Oropharyngeal Dysphagia ... Esophageal Dysphagia ... Sjogren, web • Mid esophagus ... #Differential #
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... • Solid-food dysphagia ... Extrinsic to esophagus ... structural disorder → EGD ... #Dysphagia #Differential
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... alarm symptoms • Dysphagia ... failure + negative EGD ... : • Anemia • Dysphagia ... history of Barrett esophagus
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
right ventricular dysplasia ... Long/short QT syndromes ... , Brugada syndrome ... Acquired long QT syndrome ... Arrest #cardiology #differential
Causes of Metabolic Alkalosis - Differential Diagnosis
Chloride depletion syndromes
 • Gastrointestinal losses
    -
Metabolic Alkalosis - Differential ... Chloride depletion syndromes ... Chloruretic drugs (eg ... • Liddle syndrome ... Metabolic #Alkalosis #Differential
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
muscle along the esophagus ... medulla #Diagnosis #Differential ... #EM #GI #Dysphagia ... Extraluminal #Algorithm #Differential
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Boerhaave Syndrome ... #Boerhaave #Syndrome ... clinical #endoscopy #video ... #EGD #esophagus