Diffuse esophageal spasm

Diffuse esophageal spasm

Chronic Week 4

Chronic Week 4

Esophageal atresia and tracheoesophageal fistula: Year of the Zebra
Esophageal disorders: Pathology review
Pyloric stenosis
Pyloric stenosis: Clinical sciences
Volvulus
Intestinal malrotation
Meckel diverticulum
Omphalocele
Gastroschisis
Hirschsprung disease
Imperforate anus
Gastroesophageal reflux disease (GERD)
Biliary atresia
Congenital gastrointestinal disorders: Pathology review
Eosinophilic esophagitis (NORD)
Esophagitis: Clinical sciences
Achalasia: Year of the Zebra
Achalasia
Necrotizing enterocolitis
Necrotizing enterocolitis: Clinical sciences
Zollinger-Ellison syndrome
Gastritis
Foreign body aspiration and ingestion (pediatrics): Clinical sciences
Barrett esophagus
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Gastroesophageal reflux disease: Clinical sciences
Esophageal cancer
Esophageal cancer: Clinical sciences
Food allergy
Type I hypersensitivity
Gastric motility
Esophageal motility
Zenker diverticulum
Diffuse esophageal spasm
Pneumoperitoneum
Approach to pneumoperitoneum and peritonitis (perforated viscus): Clinical sciences
Irritable bowel syndrome
Irritable bowel syndrome: Clinical sciences
Celiac disease
Celiac disease: Clinical sciences
Small bowel bacterial overgrowth syndrome
Lactose intolerance
Crohn disease
Inflammatory bowel disease (Crohn disease): Clinical sciences
Approach to dyspnea: Clinical sciences
Atopic dermatitis
Peptic ulcer
Stress ulcers: Clinical sciences
Acid reducing medications
Antidiarrheals
Laxatives and cathartics
Diagnosing cervical somatic dysfunction
Spurling test
Cervical spine counterstrain
Cervical spine facilitated positional release
Cervical spine HVLA
Cervical muscle energy treatment
Cervical spine myofascial release
Other cervical spine treatments
Still technique for the cervical spine
Development of the gastrointestinal system
Development of the digestive system and body cavities
Anatomy of the abdominal viscera: Small intestine
Anatomy of the abdominal viscera: Innervation of the abdominal viscera
Small intestine histology
Helicobacter pylori
Intussusception
Intussusception: Clinical sciences

Key Takeaways

Diffuse esophageal spasm (DES) is a condition characterized by uncoordinated and erratic contractions of the muscles in the wall of the esophagus. These contractions prevent food and liquids from passing through the stomach and can cause chest pain, dysphagia (difficulty swallowing), and regurgitation. DES can mimic myocardial ischemia in that both cause retrosternal intense chest pain, and both are relieved with the administration of nitrates.