Approach to the Patient with Dysphagia

Slides:

Advertisements

Similar presentations

Low-Dose Aspirin in Patients with Stable Cardiovascular Disease: A Meta-analysis Jeffrey S. Berger, MD, MS, David L. Brown, MD, Richard C. Becker, MD The.

Advertisements

Pierre Charbel Atallah, MD, Pierre Atallah, MD, Vikram Kashyap, MD

Severe Tuberculosis Sepsis in an Immunocompetent Patient

Paul D. Stein, MD, Fadi Matta, MD, Mary J. Hughes, DO

Bleeding Toes in Diabetic Neuropathy

An Unusual Cause of Leg Ulcerations

Richard V. Milani, MD, Carl J. Lavie, MD, Robert M

Bleeding Toes in Diabetic Neuropathy

A Pain in the Neck: Thyroid Abscess

Achalasia: Update on the Disease and Its Treatment

David R. Curran, MD, Terence K

One Appendix, Two Different Pains

Medically Unexplained Neurologic Symptoms: A Primer for Physicians Who Make the Initial Encounter Ashley Evens, BS, Lindsay Vendetta, BS, Kaitlin Krebs,

Primary Esophageal Motility Disorders

A Deadly Swallow: A Case of Achalasia with Acute Respiratory Failure

Failure to Yield: Refractory Achalasia

Making Dysphagia Easier to Swallow

Gastric Diverticulum: A Rare Cause of Refractory Epigastric Pain

Overview of Current Learning Theories for Medical Educators

Werner Syndrome with Heart Block

Pseudotumor Cerebri: Early Manifestation of Adult Lyme Disease

Carotid Sinus Massage in Patients with Suspected Acute Myocardial Infarction, Tachycardia, and Left Bundle Branch Block Teddy Weiss, MD, Yair Elitzur,

Robert Goulden, MBBS, MSc, MPhil, MA The American Journal of Medicine

What's in Her Pocket: Worsening Diverticulitis

Tick Tock The American Journal of Medicine

Stuttering Mesenteric Ischemia

Methylene Chloride Intoxication Treated With Hyperbaric Oxygen Therapy

The Reply The American Journal of Medicine

Type III hyperlipoproteinemia unmasked by HIV anti-retroviral therapy

Carmelo V. Venero, MD, Paul D. Thompson, MD, Antonio B. Fernandez, MD

TIA for the Internist The American Journal of Medicine

Gun Ownership and Firearm-related Deaths

Carlos Aguilar, MD, Valentin del Villar, MD

Eosinophilic Esophagitis and the Eosinophilic Gastrointestinal Diseases: Approach to Diagnosis and Management Erin C. Steinbach, MD, PhD, Michelle Hernandez,

Volume 117, Issue 1, Pages (July 1999)

Fusobacterium nucleatum Bacteremia Presenting with Portal Vein Thrombosis: An Abdominal Lemierre Syndrome? Joseph A. Moore, MD, Siayareh Rambally, MD

Pulmonary Langerhans' Cell Histiocytosis

Jacqueline Majors, MD, Ying Zhuge, MD, James W

A Tight Spot The American Journal of Medicine

Onkar V. Khullar, MD, Sagar R. Shroff, MD, Sonali S

Disseminated Zoster After Trauma in an Immunocompetent Patient

Acute Cytomegalovirus Colitis Mimicking Exacerbation of Ulcerative Colitis: Precipitating or Coincidental? Owolabi Ogunneye, MD, MRCP, Jaime Hernandez,

Geographic Tongue The American Journal of Medicine

Sharan Prakash Sharma, MD, Karleung Siu, MD

To Reduce Stroke with PFO Closure, Respect the Shunt

Sophia C. Kamran, William F. Pendergraft, MD, David C

Trench Mouth The American Journal of Medicine

One-way Versus Two-way Text Messaging on Improving Medication Adherence: Meta- analysis of Randomized Trials David S. Wald, MD, FRCP, Shahena Butt, MSc,

Eagle's Syndrome The American Journal of Medicine

Purple Urinary Bag Syndrome

Recurrent Back Pain of Eosinophilic Esophagitis

Sister Mary Joseph's Node

Plasma Lactescence in Acute Pancreatitis

Waxing and Waning Lymphadenopathy

Primary Care Management of Skin Abscesses Guided by Ultrasound

Kshipra Joshi, DO, Todd Golden, MSc, Sehem Ghazala, MD

Achalasia: Update on the Disease and Its Treatment

Direct Observation of Residents: A Model for an Assessment System

Acquired Generalized Lipodystrophy Following Immune Thrombocytopenia

Diagnosing Bilateral Tarsal Tunnel Syndrome

‘Krokodil’—A Designer Drug from Across the Atlantic, with Serious Consequences Dany V. Thekkemuriyi, MD, Santhosh Gheevarghese John, MD, Unnikrishnan.

Falls in Older Adults: Risk Assessment, Management and Prevention

Emily G. McDonald, MD, MSc, Ramy R. Saleh, MD, Todd C. Lee, MD, MPH

Provoked Dizziness from Bow Hunter's Syndrome

Matthew W. Martinez, MD, Keith G. Rasmussen, MD, Paul S

Toward a More Responsible News Media

Bijin Thajudeen, MD, Mario F. Rubin, MD

David Tian, MD, Ram Jhingan Mohan, MD, Gary Stallings, MD

Hypophosphatemia: Diagnostic Significance in Legionnaires’ Disease

A Hard Place: Calcified Neck Mass

Presentation transcript:

Approach to the Patient with Dysphagia Ala' A. Abdel Jalil, MD, David A. Katzka, MD, Donald O. Castell, MD The American Journal of Medicine Volume 128, Issue 10, Pages 1138.e17-1138.e23 (October 2015) DOI: 10.1016/j.amjmed.2015.04.026 Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 1 Symptom differential of common causes of esophageal dysphagia. Overlap exists among the features. Persistent dysphagia represents more severe disease that requires earlier medical attention. EoE = eosinophilic esophagitis; IEM = ineffective esophageal motility. The American Journal of Medicine 2015 128, 1138.e17-1138.e23DOI: (10.1016/j.amjmed.2015.04.026) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 2 Disorders causing oropharyngeal dysphagia. Several disorders may manifest with more than 1 cause of dysphagia, such as head and neck surgery or radiation injury. Zenker's diverticulum arises from dysmotility but then gives rise to further dysphagia by esophageal compression. CNS = central nervous system. The American Journal of Medicine 2015 128, 1138.e17-1138.e23DOI: (10.1016/j.amjmed.2015.04.026) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 3 Barium esophagram of (A) mid-esophageal stricture (arrow) and (B) advanced Achalasia (characterized by dilation and sigmoidization of esophagus with arrow pointing to classic bird's beak sign). The American Journal of Medicine 2015 128, 1138.e17-1138.e23DOI: (10.1016/j.amjmed.2015.04.026) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 4 Normal high-resolution impedance manometry. LES = lower esophageal sphincter; UES = upper esophageal sphincter. The American Journal of Medicine 2015 128, 1138.e17-1138.e23DOI: (10.1016/j.amjmed.2015.04.026) Copyright © 2015 Elsevier Inc. Terms and Conditions