26 results
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 ... gtt, GI and Surgery ... diagnosis #management #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Impedance testing Esophageal ... Before antireflux surgery ... Barrett esophagus or esophageal ... Treatment - Antireflux surgery ... 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
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
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
Chronic Diarrhea Differential Diagnosis
 • Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea Differential ... Amyloidosis, S/p surgery ... Diarrhea #Chronic #Differential ... Diagnosis #causes #gastroenterology
Caustic Esophageal Injuries

Dr. Chandana Sri @santalum_aurum

#Caustic #Esophageal #Injuries #esophagus #diagnosis #management #surgery #gastroenterology
Caustic Esophageal ... santalum_aurum #Caustic #Esophageal ... diagnosis #management #surgery ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... web or a distal esophageal ... Esophageal Dysphagia ... #Dysphagia #Differential ... Diagnosis #Management #gastroenterology
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
Deficiency Anemia - Differential ... bleed, Epistaxis, Surgery ... Achlorhydria: PPI ... sprue, IBD, Bypass surgery ... Deficiency #Anemia #Differential