Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal - Swallowed, but food is stuck
• Solids and Liquids (motor) - Lack of peristalsis or LES relaxation
- Intermittent: Diffuse Esophageal Spasm
- Progressive: Systemic Sclerosis, Achalasia
• Solids (obstruction) - Gradual narrowing until <1.5 cm
- Non-Progressive: Esophageal Web, Eosinophilic esophagitis
- Progressive: Cancer
SCVMC Internal Medicine @SCVMCMed
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