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Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models

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[Dysphagia and Sonography: what Association?].

Thierry Donati¹, Matteo Badini¹, Hans-Rudolf Schwarzenbach¹

¹1 Hausarztpraxis Dr. med. Hans-Ruedi Schwarzenbach, Melide.

|June 9, 2016

Summary

This case study highlights a misdiagnosed achalasia patient, emphasizing the importance of patient-physician relationships and clinical examination. It also shows ultrasonography

Keywords:

Achalasie Fehldiagnose Ultraschall-Diagnostik achalasia achalasie allgemeine Innere Medizin erreur de diagnostic general internal medicine misdiagnosis médecine interne générale ultrasound diagnostic échographie

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Area of Science:

Gastroenterology and Internal Medicine
Esophageal Motility Disorders

Background:

Achalasia is a primary esophageal motility disorder.
Symptoms include dysphagia, chest pain, and refractory reflux.
Accurate diagnosis relies on detailed patient history and esophageal manometry.

Purpose of the Study:

To present a challenging case of achalasia misdiagnosis.
To underscore the significance of clinical skills in diagnosis.
To highlight the utility of ultrasonography in internal medicine.

Main Methods:

Case report of a 31-year-old woman with prolonged misdiagnosis.
Clinical evaluation including patient-physician interaction and bedside assessment.
Utilized ultrasonography as part of the diagnostic process.

Main Results:

The patient presented with typical achalasia symptoms but had a complex history leading to delayed diagnosis.
The case emphasizes that fundamental clinical skills remain crucial despite medical advancements.
Ultrasonography proved to be a valuable, simple tool for comprehensive evaluation.

Conclusions:

Misdiagnosis of achalasia can occur due to complex patient histories.
The patient-physician relationship and bedside approach are paramount for accurate diagnosis.
Ultrasonography is a valuable adjunct in general internal medicine for evaluating such conditions.