27 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... #Necrosis #Black ... Esophagus #Endoscopy #EGD ... #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... EGD and Biopsy ... #Necrosis #black ... #management #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... Algorithm Oropharyngeal ... Liquids (motor) - Lack ... #Algorithm #solids ... #liquids #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
retrosternal chest pain Diagnosis ... : - EGD showing ... circumferential black ... #Necrosis #diagnosis ... #management #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... Non-relaxation of EG ... junction: Achalasia, EG ... #Differential #Diagnosis ... #causes #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
- Differential Diagnosis ... Algorithm Oropharyngeal ... Dysphagia Esophageal ... #Differential #Diagnosis ... #Esophageal #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... Consult GI ± EGD ... #Differential #Diagnosis ... #management #Algorithm ... gastrointestinal #gastroenterology
Esophageal Physiologic Testing

Endoscopy
High Resolution Manometry
Barium Esophagram
Functional Lumen Imaging Probe (FLIP)
Ambulatory Reflex Monitoring

Dr. Chaitanya Allamneni @CAllamneni via
Esophageal Physiologic ... Manometry Barium Esophagram ... Testing #Esophagus #diagnosis ... #gastroenterology ... #Algorithm
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
- Differential Diagnosis ... Algorithm Acute ... /black, tarry stools ... 15%): • Gastro-esophageal ... #Algorithm #Causes
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... obstruction, Distal esophageal ... peristalsis, GERD #Esophageal ... comparison #table #gastroenterology ... #diagnosis