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Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... Impedance testing Esophageal ... Nonpharmacologic Treatment ... of bed GERD Treatment ... diagnosis #management #Gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... no NGT, mlVF, PPI ... KBrag_MD #Acute #Esophageal ... diagnosis #management #gastroenterology
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
The Gastroenterology ... a GI Consult HPI ... last meal - Treatment ... started (PPI IV ... Calling #Referral #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... third of esophagus Treatment ... : - Treatment of ... 48 hours - IV PPI ... diagnosis #management #gastroenterology
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Classification of Esophageal ... Obstruction Distal Esophageal ... Classification #Esophageal ... Motility #Disorders #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
attempting to swallow Esophageal ... Intermittent: Diffuse Esophageal ... Non-Progressive: Esophageal ... solids #liquids #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Jackhammer Esophagus or Esophageal ... Jackhammer #Esophagus #Esophageal ... Spasm #Management #gastroenterology
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Symptoms Long-Term PPI ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Gastroenteritis: Treatment ... : • Trial of PPI ... : • Trial of PPI ... Gastroenteritis #Treatment ... #management #gastroenterology
PPI Potency for GERD - Mnemonic and Conversion
Pantoprazole is Lower than Omeprazole for Esophageal Reflux
Pantoprazole is
PPI Potency for ... Omeprazole for Esophageal ... - Omeprazole Esophageal ... Rabeprazole #PPI