10 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... Sepsis Diagnosis EGD ... and Biopsy Differential ... Pseudomembranous esophagitis ... #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential ... Non-relaxation of EG ... Strictures from esophagitis ... #Differential # ... Diagnosis #causes #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... Complications: • Erosive esophagitis ... Disease #diagnosis #management ... #Gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... Dieulafoy • Esophagitis ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... structural disorder → EGD ... #Dysphagia #Differential ... #Diagnosis #Management ... #gastroenterology
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Eosinophilia (EoE ... ) - Differential ... Gastroesophageal reflux ... #Differential # ... Secondary #Causes #gastroenterology
Los Angeles Classification of Reflux Esophagitis
Accurate endoscopic assessment of reflux esophagitis is vital in making accurate
Esophagitis Accurate ... esophagitis is ... decisions on patients' management ... #grading #gastroenterology ... #EGD
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... symptoms include dysphagia ... Diagnosis: - EGD ... Necrosis #diagnosis #management ... #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... with progressive dysphagia ... puckering of the EGJ ... Cindy Ye @EmoryGastroHep ... ACG #Guidelines #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... esophageal sphincter to relax ... Short duration of dysphagia ... Achalasia #diagnosis #management ... #treatment #gastroenterology