43 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Dieulafoy • Esophagitis ... UGIB #GIBleed #Differential ... #Diagnosis #management ... gastrointestinal #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
EGD and Biopsy Differential ... Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis ... (EoE) - Spectrum ... #Eosinophilic #Esophagitis ... #EoE #Response ... #diagnosis #gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Eosinophilic #Esophagitis ... classification #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... , Eosinophilic esophagitis ... SCVMCMed #Dysphagia #Differential ... solids #liquids #gastroenterology
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... (EOE) Management ... #Eosinophilic #Esophagitis ... #Management #Algorithm ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis ... (EoE) - Treatment ... #Eosinophilic #Esophagitis ... Treatment #Algorithm #management ... #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... esophagus: pill esophagitis ... #Dysphagia #Differential ... Oropharyngeal #Esophageal #gastroenterology
Algorithm for the Evaluation of the Red and Painful Eye
1. External
2. Lids and Lashes
3. Conjunctiva and
Red and Painful Eye ... Algorithm #Diagnosis #Differential ... #Anatomy #Ophthalmology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... presentation and anatomy ... Step 4: Medical Management ... Esophageal #Spasm #Management ... #gastroenterology