31 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Epigastric/chest pain ... EGD and Biopsy Differential ... no NGT, mlVF, PPI ... 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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
regurgitation • Chest pain ... manifestations • Chest pain ... Impedance testing Esophageal ... Barrett esophagus or esophageal ... diagnosis #management #Gastroenterology
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Causes of Chest Pain ... - Differential ... Tamponade • Esophageal ... ChestPain #Chest #Pain ... #differential #
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... retrosternal chest pain ... 48 hours - IV PPI ... retrosternal or back pain ... diagnosis #management #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
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Embolism (chest pain ... • Gastro-Esophageal ... Spasm • Esophageal ... Noncardiac #Cardiology #Differential
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Causes of Chest Pain ... Causes of Chest Pain ... Mediastinitis • Esophageal ... #ChestPain #Differential
Functional Dyspepsia Syndromes - Epigastric Pain Syndrome (EPS) and Postprandial Distress Syndrome (PDS)
Epigastric Pain Syndrome (EPS):
≥
Syndromes - Epigastric Pain ... Syndrome (EPS) ... PDS) Epigastric Pain ... Epigastric pain ... PDS #syndromes #gastroenterology