Diffuse esophageal spasm guidelines for management: Difference between revisions
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Madhu Sigdel (talk | contribs) No edit summary |
Madhu Sigdel (talk | contribs) No edit summary |
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{{familytree | | | C01 | | | | | | | | |C01=Chest pain}} | {{familytree | | | C01 | | | | | | | | |C01=Chest pain}} | ||
{{familytree | |,|-|^|-|.| | | | | | | |}} | {{familytree | |,|-|^|-|.| | | | | | | |}} | ||
{{familytree |boxstyle=text-align: left; | D01 | | D02 | | | | | |D01=• | {{familytree |boxstyle=text-align: left; | D01 | | D02 | | | | | |D01=• Effort induced<br> • Dyspnea<br> • Syncope<br>|D02=• Dysphagia<br>• Heartburn<br>|}} | ||
{{Family tree |!| | | |!| | | | | }} | {{Family tree |!| | | |!| | | | | }} | ||
{{Family tree | C01 ||!| | | | |C01= ECG and other cardiac work up|}} | {{Family tree | C01 ||!| | | | |C01= ECG and other cardiac work up|}} | ||
{{Family tree | | | | |!| | | | | }} | |||
{{Family tree | | || B01 | |B01= Esophageal manometry}} | {{Family tree | | || B01 | |B01= Esophageal manometry}} | ||
{{Family tree | | | | |!| | | | | }} | {{Family tree | | | | |!| | | | | }} | ||
| Line 11: | Line 12: | ||
{{Family tree | | | | |!| | | | | }} | {{Family tree | | | | |!| | | | | }} | ||
{{Family tree | | | | B01 | | | |B01= Esophageal pH}} | {{Family tree | | | | B01 | | | |B01= Esophageal pH}} | ||
{{Family tree| |,|-|-|^|-|-|-|-|-|.| }} | |||
{{Family tree| | C01 | | | | | | C02 |C01= Normal| | C02= Abnormal}} | |||
{{Family tree| | |!| | | | | | | |!| | | | | }} | |||
{{Family tree| | C101 | | | | | | C102 |C101= Primary DES| C102= Secondary DES}} | |||
{{familytree |,|-|^|-|.| | | | | | | | | | | | | | | | | }} | |||
{{familytree | D01 | | D02 | | | | | | | | | | | |D01=Mild|D02=Moderate/severe}} | |||
{{familytree | |!| | | |!| | | | | | | | | | | | | | | | }} | |||
{{familytree | E01 | | E02 | | | | | | | | | | | | |E01=Antispasmodics|E02=Medical therapy of DES}} | |||
{{familytree | | | | | |!| | | | | | | | | | | | | | | | | | }} | |||
{{familytree | | | | | F01 | | | | | | | | | | | | |F01=Botox injection/esophageal dilatation}} | |||
{{Family tree | | | |,|-|-|^|-|-|.| | }} | |||
{{Family tree | | |C01| | | | C02 |C01= Response| C02= No response}} | |||
{{familytree | | | |!| | | | | | |!| }} | |||
{{familytree | | | F01 | | | | | | F02 |F01=Repeat Dilatation or Botox inj. as needed|F02=Surgical consultation}} | |||
{{Family tree/end}} | {{Family tree/end}} | ||
Latest revision as of 16:46, 20 November 2017
| Chest pain | |||||||||||||||||||||||||||||||||||||||||||||||
| • Effort induced • Dyspnea • Syncope | • Dysphagia • Heartburn | ||||||||||||||||||||||||||||||||||||||||||||||
| ECG and other cardiac work up | |||||||||||||||||||||||||||||||||||||||||||||||
| Esophageal manometry | |||||||||||||||||||||||||||||||||||||||||||||||
| Diffuse esophageal spasm(DES) | |||||||||||||||||||||||||||||||||||||||||||||||
| Esophageal pH | |||||||||||||||||||||||||||||||||||||||||||||||
| Normal | Abnormal | ||||||||||||||||||||||||||||||||||||||||||||||
| Primary DES | Secondary DES | ||||||||||||||||||||||||||||||||||||||||||||||
| Mild | Moderate/severe | ||||||||||||||||||||||||||||||||||||||||||||||
| Antispasmodics | Medical therapy of DES | ||||||||||||||||||||||||||||||||||||||||||||||
| Botox injection/esophageal dilatation | |||||||||||||||||||||||||||||||||||||||||||||||
| Response | No response | ||||||||||||||||||||||||||||||||||||||||||||||
| Repeat Dilatation or Botox inj. as needed | Surgical consultation | ||||||||||||||||||||||||||||||||||||||||||||||