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  • Esophageal Dysphagia - DDX

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    Jacob Kim
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    Esophageal dysphagia can be caused by either intrinsic or extrinsic factors. Intrinsic causes include structural abnormalities of the esophagus like rings or webs, food bolus impactions, malignancies, and various types of esophagitis. Extrinsic factors comprise vascular abnormalities, thoracic aneurysms, aberrant arteries, malignancies or lymphadenopathy pressing on the esophagus from outside. Neurological issues and motility disorders can also contribute to esophageal dysphagia.

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    Esophageal Dysphagia - DDx

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    Esophageal dysphagia can be caused by either intrinsic or extrinsic factors. Intrinsic causes include structural abnormalities of the esophagus like rings or webs, food bolus impactions, malignancies, and various types of esophagitis. Extrinsic factors comprise vascular abnormalities, thoracic aneurysms, aberrant arteries, malignancies or lymphadenopathy pressing on the esophagus from outside. Neurological issues and motility disorders can also contribute to esophageal dysphagia.

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    6 views1 page

    Esophageal Dysphagia - DDX

    Uploaded by

    Jacob Kim
    Esophageal dysphagia can be caused by either intrinsic or extrinsic factors. Intrinsic causes include structural abnormalities of the esophagus like rings or webs, food bolus impactions, malignancies, and various types of esophagitis. Extrinsic factors comprise vascular abnormalities, thoracic aneurysms, aberrant arteries, malignancies or lymphadenopathy pressing on the esophagus from outside. Neurological issues and motility disorders can also contribute to esophageal dysphagia.

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    Esophageal Dysphagia

    Extrinsic
    Differentiate from:
    Odynophagia (painful swallowing) Vascular:
    Dyspepsia
    Orophayngeal dysphagia (more likely neurological) Thoracic Aneurysm
    Aberrant Subclavian Artery

    Malignancy/Lymphadenopathy

    Intrinsic Neurological Motility


    Structural:
    Esophageal webs/rings Stroke Achalasia
    Food Bolus Myasthenia CTD (Systemic
    Malignancy Motor Neuron Sclerosis,
    Disease (ALS) Sjogrens)
    Esophagitis:
    Infectious (Candida, HSV)
    Eosinophilic
    Medications
    (bisphosphanates)

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