35 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... Band Ligation + Epi ... active #Gastric #Bleeding ... 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 ... EGD and Biopsy Differential ... no NGT, mlVF, PPI ... KBrag_MD #Acute #Esophageal ... diagnosis #management #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... attempting to swallow Esophageal ... Non-Progressive: Esophageal ... SCVMCMed #Dysphagia #Differential ... solids #liquids #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
hemorrhage (particular esophageal ... of gastric and esophageal ... bleeding as well ... aspiration of gastric & esophageal ... #instructions #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... of Dysphagia - Differential ... 4 T's), Goiter Esophageal ... #Dysphagia #Differential ... Diagnosis #causes #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Oropharyngeal Dysphagia Esophageal ... #Dysphagia #Differential ... Oropharyngeal #Esophageal ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
indications → PPI ... Impedance testing Esophageal ... Barrett esophagus or esophageal ... Barrett esophagus • Esophageal ... diagnosis #management #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... state) predisposes esophageal ... 48 hours - IV PPI ... prevent further esophageal ... diagnosis #management #gastroenterology
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed - Differential ... - Exclude bleeding ... 15%): • Gastro-esophageal ... Gastronintestinal #Differential
Causes of Pediatric Wheezing - Differential Diagnosis Algorithm
CXR Abnormal:
 • Pulmonary Sequestration
 • Congenital Adenoid Cystic
Pediatric Wheezing - Differential ... Fibrosis Wheeze With Feeding ... Reflux • H-Type Esophageal ... Wheezing #Wheeze #Differential