Discover and read the best of Twitter Threads about #tracingtuesday
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Discussion from this past #TracingTuesday:
As many have noted, this tracing showed inadequate LES relaxation & no normal esophageal body peristalsis - the definition for #achalasia. There’s evidence of esophageal shortening in some swallows, causing pseudo-relaxation. (1/4)
As many have noted, this tracing showed inadequate LES relaxation & no normal esophageal body peristalsis - the definition for #achalasia. There’s evidence of esophageal shortening in some swallows, causing pseudo-relaxation. (1/4)
This study does not clearly fall into any of 3 achalasia subtypes: no failed swallow, no PEP >30 mmHg, no spastic contractions (DL >4.5). Note the difference b/t true PEP (non-contractile, uniform pressurization) and this case, which has a clear distal contraction fragment. (2/4)
Although DL is normal throughout, if the former CFV metric is applied, the contraction front velocity is certainly high, suggesting simultaneous contractions. This highlights the limitation of using DL alone & importance of visual interpretation of peristaltic pattern. (3/4)
Hi all, please welcome one more of my Newcastle GI colleagues @AlkeshZala1 to #medtwitter #gitwitter #livertwitter #scopingsundays #MondayNightIBD
local manometry guru and an #IBD expert
Claim to fame includes the removal of large kitchen knife video @DDWMeeting world cup 2015
local manometry guru and an #IBD expert
Claim to fame includes the removal of large kitchen knife video @DDWMeeting world cup 2015
I have managed to convince one more colleague to join Twitter! @AllonKahn @magnushallandMD @WalterChanMD #tracingTuesday
Hi @DCharabaty one more colleague for the @MondayNightIBD discussions, another voice from Australia along with @theng_gan
