189 results
Bleeding on Endoscopic Submucosal Dissection (ESD)
You know it’s going to be a fun ESD when this
Submucosal Dissection (ESD ... going to be a fun ESD ... after the first injection ... #Bleeding #ESD ... Submucosal #Dissection #EGD
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... carpenter's Nail ingestion ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... dust, Caustic ingestion ... Pseudomembranous esophagitis, Infection
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Self-dilation • Injection ... Consider PEG & EEN • EGD ... w/ Fibrin Injection ... • EGD +/- Bronchoscopy
Lumbar Spine X-Ray Anatomy and Interpretation Checklist
 - Pedicles
 - Vertebral heights and end plates
 -
Vertebral heights and end ... labeled #anatomy #msk
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on POCUS ... 24yo healthy F to ED ... Abscess #Hepatic #POCUS ... Clinical #Ultrasound #Abdominal
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Metastases, Miliary Infection ... Sarcoidosis, NSIP, COP, Infection ... , Scleroderma, End-Stage ... Hypersensitivity, End-Stage ... Bronchiectasis: Prior Infection
Gastroschisis on POCUS

Common ED complaint--VB/OB.  G1P0.  No heart tones heard so POCUS done.
Gastroschisis on POCUS ... Common ED complaint ... tones heard so POCUS ... Note abdominal wall ... Always explain POCUS
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
triad: Bleeding, abdominal ... , and palpable abdominal ... bleeding may undergo EGD ... Sensitivity of EGD ... - If negative, EGD
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
in SBP > 40 - End-organ ... Cardiogenic: Myocardial Infarction ... Severe auto-PEEP, Abdominal