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Dysphagia - Differential Diagnosis Algorithm

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

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... | Esophageal: Peptic ... Extrinsic to esophagus ... Esophageal Dysphagia ... #Dysphagia #Differential
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential ... Oropharyngeal Dysphagia ... Dysphagia Intermittent ... Cancer #Dysphagia ... #Differential #
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... melena (70%), Dysphagia ... EGD and Biopsy Differential ... KBrag_MD #Acute #Esophageal ... Necrosis #black #esophagus
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... attempting to swallow Esophageal ... Non-Progressive: Esophageal ... Medicine @SCVMCMed #Dysphagia ... #Differential #
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
muscle along the esophagus ... and lower esophageal ... medulla #Diagnosis #Differential ... #EM #GI #Dysphagia ... Extraluminal #Algorithm #Differential
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... Stevens-Johnson syndrome ... is restored to esophagus ... symptoms include dysphagia ... distal third of esophagus
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
- Budd Chiari Syndrome ... -> Ascites - Esophageal ... Motility Disorders -> Dysphagia
Nasogastric Tube Placement on Point of Care Ultrasound - Transverse View
The cervical esophagus is left of
The cervical esophagus ... or identifying esophageal ... Placement #clinical #video ... pocus #ultrasound #esophagus