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Here is a quick mnemonic “ESOPHAGEAL to remember about Esophageal Dysphagia.

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams

Esophageal Dysphagia : How To Remember Easily ?

  • E – Esophageal Dysphagia: The adult esophagus measures 18–26 cm in length and is anatomically divided into the cervical esophagus, extending from the pharyngoesophageal junction to the suprasternal notch.
  • S – Solid food dysphagia: becomes common when the lumen is narrowed to <13 mm, but also can occur with larger diameters in the setting of poorly masticated food or motor dysfunction.
  • O – Oropharyngeal dysphagia: Diseases affecting smooth muscle involve both the thoracic esophagus and the LES. A dominant manifestation of this, absent peristalsis, refers to either the complete absence of swallow-induced contraction (absent contractility) or the presence of nonperistaltic, disordered contractions.
  • P – Propulsive disorders: leading to esophageal dysphagia result from abnormalities of peristalsis and/or deglutitive inhibition, potentially affecting the cervical or thoracic esophagus.
  • H – Having dominant manifestation of this : absent peristalsis, refers to either the complete absence of swallow-induced contraction (absent contractility) or the presence of nonperistaltic, disordered contractions.
  • A – Achalasia: Absent peristalsis and failure of deglutitive LES relaxation are the defining features of achalasia.
  • G – Gastroesophageal reflux disease: Dysphagia also occurs in the setting of gastroesophageal reflux disease without a stricture, perhaps on the basis of altered esophageal sensation, reduced esophageal mural distensibility, or motor dysfunction.
  • E – Eosinophilic esophagitis: The most common structural causes of dysphagia are Schatzki’s rings, eosinophilic esophagitis, and peptic strictures.
  • A – Absent contractility: combined with severe weakness of the LES is a pattern commonly found in patients with scleroderma.
  • L – (BLANK)

MnemonicESOPHAGEAL

Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department
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