Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ disorders, ALS, MS, muscular dystrophy, spinal muscular atrophy, SLE, Sjogren, web
 • Mid esophagus: pill esophagitis
 • Lower 2/3 (smooth muscle): scleroderma, MCTD, achalasia. strictures, adenocarcinoma, DES, schatzki
Entire length: RA. inflammatory myopathies

Matthew Ho, MD PhD @MatthewHoMD

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