Dysphagia - created from Mind Map

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Difficulty swallowing

Oropharyngeal

Esophageal

Patient can't coordinate swallowing muscles appropriately

Muscular problem

Alzheimer's patients

Obstruction Mechanical

motility problems

More likely dysphagia with SOLIDS

Achalasia

Scleroderma

Aperistalsis of the stomach

LES increased tone/pressure

Decreased LES relaxation

Dysphagia with solids AND liquids

It might not present on endoscopy but why is it still REALLY important to perform an endoscopy?

Definitive Treatment: Hellers Myotomy

Rule out pseudoachalasia

Like a tumor in the cardia of the stomach

Dilatations are effective but will require multiple not a definitive tx

Side Effect?

Gastric Reflux" Salvaje"

Systemic connective tissue disorder

Esophageal motor dysfunction

Smooth muscle

Atrophy

Fibrosis

Can't contract well in the distal esophagus

Incompetent LES

Irreversible injury

LES hypotension

GERD and its complications

No anti-reflux barrier

Loss of clearing mechanism

Erosive esophagitis

Barett's esophagitis

Adenocarcinoma

Collagen deposition

Sclerosis of the arterioles