13 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... ± EGD Causes ... Dieulafoy • Esophagitis ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... Pseudomembranous esophagitis ... mlVF, PPI gtt, GI ... #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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... Complications: • Erosive esophagitis ... of bed GERD Treatment ... Disease #diagnosis #management ... #Gastroenterology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... in SBP > 40 - End-organ ... Hypovolemic: Blood Loss, GI ... Dehydration Shock Treatment ... #management
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
Diagnosis and Management ... (IgG) - cannot differentiate ... Test or repeat EGD ... #Treatment #quadruple ... quadrupletherapy #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... Bleed (Other than EGD ... MatthewHoMD #GI ... Bleed #GIBleed #management ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
melena - Other GI ... Diagnosis: - EGD ... : - Treatment of ... Necrosis #diagnosis #management ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... structural disorder → EGD ... Treatment • ... #Diagnosis #Management ... #gastroenterology