29 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,
Esophageal Causes of Dysphagia ... Oropharyngeal Dysphagia ... Non-relaxation of EG ... junction: Achalasia, EG ... Hypercontractile Esophagus
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 ... Necrosis #black #esophagus
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
Hyperreflexia in serotonin syndrome

- Dr. David Juurlink @DavidJuurlink

#Hyperreflexia #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Hyperreflexia in serotonin syndrome ... Hyperreflexia #serotonin #syndrome ... PhysicalExam #Clinical #Video ... #Knee #Reflexes
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... • Solid-food dysphagia ... Extrinsic to esophagus ... ("Transfer dysphagia ... structural disorder → EGD
Sustained Clonus in Serotonin Syndrome

- Dr. David Juurlink @DavidJuurlink

#Clonus #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Clonus in Serotonin Syndrome ... Clonus #serotonin #syndrome ... PhysicalExam #Clinical #Video ... #Knee #Reflexes
Positive Anterior drawer test video

Test for ACL integrity. Knee at 90 degree pulling tibia forward. (+)
Anterior drawer test video ... Knee at 90 degree ... movement or no end ... Positive #Clinical #Video ... #Knee #PhysicalExam
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... is restored to esophagus ... symptoms include dysphagia ... Diagnosis: - EGD ... distal third of esophagus