21 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... non-ICU vs ICU causes ... Differential #Diagnosis #Algorithm ... #gastroenterology ... #hepatology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... Causes of Dysphagia ... Oropharyngeal Dysphagia ... 4 T's), Goiter Esophageal ... #gastroenterology
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential ... Diagnosis Algorithm ... Oropharyngeal Dysphagia ... Differential #Diagnosis #Algorithm ... #Causes
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Diagnosis Algorithm ... Esophageal Dysphagia ... Differential #Diagnosis #Algorithm ... Oropharyngeal #Esophageal ... #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... Diagnosis Algorithm ... Medicine @SCVMCMed #Dysphagia ... Differential #Diagnosis #Algorithm ... solids #liquids #gastroenterology
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... Pre-Hepatic - Unconjugated ... II) Hepatic - Conjugated ... Differential #Diagnosis #Algorithm ... #Causes #Hepatology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... melena (70%), Dysphagia ... no NGT, mlVF, PPI ... KBrag_MD #Acute #Esophageal ... diagnosis #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... | Esophageal: Peptic ... Esophageal Dysphagia ... the underlying cause ... Diagnosis #Management #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
alarm symptoms • Dysphagia ... Impedance testing Esophageal ... : • Anemia • Dysphagia ... Barrett esophagus or esophageal ... diagnosis #management #Gastroenterology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia 

== Disorders of Conjugation ==
Gilbert Syndrome:
 • 5-10% of the population
and stress may cause ... an increase in conjugated ... predominantly a mixed conjugated ... Congenital #bilirubin #hepatology ... #diagnosis #gastroenterology