12 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 ... #management #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... Hgb 7-9 g/dL PPI ... unclear source (in case ... #varices #hepatology
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
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Causes - Differential ... potentially be an acute ... malignancy • Esophageal ... #Differential # ... Diagnosis #gastroenterology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... AKI - Differential ... Diagnosis HEMODYNAMIC ... , antibiotics, PPI ... #Differential #
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Diagnosis Portal ... ascites (SAAG>I.I), esophageal ... • Cirrhosis/acute ... #Diagnosis #causes ... #hepatology
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 ... #gastroenterology
Causes of Eosinophilia - Differential Diagnosis
Bugs:
 - Fungus (aspergillosis)
 - Viral (HIV)
 - Ectoparasites (scabies, myiasis)
- Differential ... - DRESS - AIN ... Mastocytosis - Acute ... #Diagnosis #Causes ... #hematology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... = nonspecific (nausea ... vomiting, abdominal pain ... infiltration) Differential ... Liver #Pregnancy #hepatology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
saliva • Chest pain ... : Testing The diagnosis ... , or endoscopic ... #Achalasia #diagnosis ... management #treatment #gastroenterology