10 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 ... #Esophageal #Necrosis ... diagnosis #management #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Hgb 7-9 g/dL PPI ... unclear source (in case ... adam_c_winters #Esophageal ... #varices #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... • Cirrhosis/acute ... #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Differential ... Infiltrative disease • Acute ... Diagnosis #Algorithm #Hepatology ... #causes
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
for Treatment of Acute ... Esophageal Variceal ... mortality benefit • PPI ... ) - No role in acute ... ebm #evidence #gastroenterology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... fibrosis - Acute ... #Causes #diagnosis ... #differential # ... hepatology #SAAG
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... weight loss or acute ... the underlying cause ... #Dysphagia #Differential ... Diagnosis #Management #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
V - Volume (Ascites ... Ddx: Gastric + esophageal ... - Tx: PPI, octreotide ... Management #Diagnosis #Hepatology ... #Gastroenterology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... = nonspecific (nausea ... develops (DIC, ascites ... infiltration) Differential ... Liver #Pregnancy #hepatology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
- Differential ... potentially be an acute ... malignancy • Esophageal ... #Differential # ... Diagnosis #gastroenterology