13 results
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 ... Necrosis #black #esophagus ... #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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
history of Barrett esophagus ... Complications: • Erosive esophagitis ... Stricture • Barrett esophagus ... Disease #diagnosis #management ... #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
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
of Dysphagia - Differential ... Hypercontractile Esophagus ... Strictures from esophagitis ... Esophageal #Dysphagia #Differential ... Diagnosis #causes #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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... Diagnosis: - EGD ... Treatment: - Treatment ... Necrosis #diagnosis #management ... #gastroenterology
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
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... structural disorder → EGD ... Treatment • ... #Diagnosis #Management ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids
 • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... formulations for treatment ... is available Gastroenterology ... #Eosinophilic #Esophagitis ... Corticosteroids #management