10 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... ) on Endoscopy ... #Black #Esophagus ... #Endoscopy #EGD ... #gastroenterology
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 ... #black #esophagus ... diagnosis #management #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... - Differential ... Hypercontractile Esophagus ... #Dysphagia #Differential ... #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
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
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Extrinsic to esophagus ... weight loss or acute ... the underlying cause ... Diagnosis #Management #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
two-thirds of the esophagus ... • Jackhammer esophagus ... , or endoscopic ... management #treatment #gastroenterology ... #esophageal #esophagus
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... energy or heat to cause ... : • ESOPHAGO-GASTRO-DUODENOSCOPE ... pictures as it passes ... Aguila @enrrikke #Gastroenterology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... ascites (SAAG>I.I), esophageal ... • Cirrhosis/acute ... #Hypertension #Differential ... #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