Diffuse esophageal spasm

2,164views

Videos

Notes

Diffuse esophageal spasm

Gastrointestinal system

Peritoneum and peritoneal cavity disorders

Peritonitis

Pneumoperitoneum

Upper gastrointestinal tract disorders

Cleft lip and palate

Congenital diaphragmatic hernia

Esophageal web

Tracheoesophageal fistula

Pyloric stenosis

Sialadenitis

Parotitis

Oral candidiasis

Ludwig angina

Aphthous ulcers

Temporomandibular joint dysfunction

Dental abscess

Gingivitis and periodontitis

Dental caries disease

Oral cancer

Warthin tumor

Barrett esophagus

Achalasia

Plummer-Vinson syndrome

Mallory-Weiss syndrome

Boerhaave syndrome

Gastroesophageal reflux disease (GERD)

Zenker diverticulum

Diffuse esophageal spasm

Esophageal cancer

Eosinophilic esophagitis (NORD)

Gastritis

Gastric dumping syndrome

Peptic ulcer

Gastroparesis

Cyclic vomiting syndrome

Gastroenteritis

Gastric cancer

Lower gastrointestinal tract disorders

Gastroschisis

Imperforate anus

Omphalocele

Meckel diverticulum

Intestinal atresia

Hirschsprung disease

Intestinal malrotation

Necrotizing enterocolitis

Intussusception

Tropical sprue

Small bowel bacterial overgrowth syndrome

Celiac disease

Short bowel syndrome (NORD)

Lactose intolerance

Whipple's disease

Protein losing enteropathy

Microscopic colitis

Crohn disease

Ulcerative colitis

Bowel obstruction

Intestinal adhesions

Volvulus

Gallstone ileus

Abdominal hernias

Femoral hernia

Inguinal hernia

Small bowel ischemia and infarction

Ischemic colitis

Familial adenomatous polyposis

Peutz-Jeghers syndrome

Gardner syndrome

Juvenile polyposis syndrome

Colorectal polyps

Colorectal cancer

Carcinoid syndrome

Irritable bowel syndrome

Gastroenteritis

Diverticulosis and diverticulitis

Appendicitis

Anal fissure

Anal fistula

Hemorrhoid

Rectal prolapse

Liver, gallbladder and pancreas disorders

Crigler-Najjar syndrome

Biliary atresia

Gilbert's syndrome

Dubin-Johnson syndrome

Rotor syndrome

Jaundice

Cirrhosis

Portal hypertension

Hepatic encephalopathy

Hemochromatosis

Wilson disease

Budd-Chiari syndrome

Non-alcoholic fatty liver disease

Cholestatic liver disease

Hepatocellular adenoma

Autoimmune hepatitis

Alcohol-induced liver disease

Alpha 1-antitrypsin deficiency

Primary biliary cirrhosis

Primary sclerosing cholangitis

Hepatitis

Neonatal hepatitis

Reye syndrome

Benign liver tumors

Hepatocellular carcinoma

Gallstones

Biliary colic

Acute cholecystitis

Ascending cholangitis

Chronic cholecystitis

Gallstone ileus

Gallbladder cancer

Cholangiocarcinoma

Acute pancreatitis

Pancreatic pseudocyst

Chronic pancreatitis

Pancreatic cancer

Pancreatic neuroendocrine neoplasms

Zollinger-Ellison syndrome

Gastrointestinal system pathology review

Congenital gastrointestinal disorders: Pathology review

Esophageal disorders: Pathology review

GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review

Inflammatory bowel disease: Pathology review

Malabsorption syndromes: Pathology review

Diverticular disease: Pathology review

Appendicitis: Pathology review

Gastrointestinal bleeding: Pathology review

Colorectal polyps and cancer: Pathology review

Neuroendocrine tumors of the gastrointestinal system: Pathology review

Pancreatitis: Pathology review

Gallbladder disorders: Pathology review

Jaundice: Pathology review

Viral hepatitis: Pathology review

Cirrhosis: Pathology review

Assessments

Diffuse esophageal spasm

Flashcards

0 / 5 complete

USMLE® Step 1 questions

0 / 1 complete

High Yield Notes

13 pages

Flashcards

Diffuse esophageal spasm

of complete

Questions

USMLE® Step 1 style questions USMLE

of complete

A 60-year-old man comes to the clinic for evaluation of difficulty swallowing accompanied by chest pain. The patient had a few of these episodes in the past but did not seek treatment. The episodes occur while he is having a meal, but only occasionally. He describes difficulty in swallowing both liquids and solids. He has not noticed any pain during exertion. Medical history is noncontributory. The patient does not smoke or use illicit drugs, and he drinks alcohol socially. Temperature is 37.0°C (98.6°F), pulse is 75/min, and blood pressure is 125/85 mmHg. ECG shows no abnormalities or ischemic changes. Two subsequent troponin measurements are within normal limits. Which of the following is most likely seen in this patient on further evaluation?  

Summary

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.

Elsevier

Copyright © 2023 Elsevier, except certain content provided by third parties

Cookies are used by this site.

USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.

RELX