24 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 ... #black #esophagus ... #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
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Diagnosis Algorithm ... Acute Hematemesis ... /black, tarry stools ... 15%): • Gastro-esophageal ... #Causes
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Diagnosis: - EGD ... circumferential black ... 48 hours - IV PPI ... pain and requires ... #management #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Causes - Differential ... potentially be an acute ... , diarrhea • Back ... malignancy • Esophageal ... Diagnosis #gastroenterology
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
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
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 #
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
) - Differential ... Diagnosis Framework ... disease (GERD), esophageal ... Loss of vision or black ... #diagnosis
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