13 results
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 ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... presentation and anatomy ... #Jackhammer #Esophagus ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis ... (EoE) - Spectrum ... Endoscopy: Normal esophagus ... #Eosinophilic #Esophagitis ... #diagnosis #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Sjogren, web • Mid esophagus ... : pill esophagitis ... #Dysphagia #Differential ... Oropharyngeal #Esophageal #gastroenterology
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
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
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
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Eosinophilia (EoE ... ) - Differential ... • Stasis esophagitis ... #Differential # ... Secondary #Causes #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