9 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... EGD and Biopsy Differential ... Pseudomembranous esophagitis ... Necrosis #black #esophagus ... #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Esophagus or Esophageal ... presentation and anatomy ... #Jackhammer #Esophagus ... #Esophageal #Spasm ... #Management #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

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

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Extrinsic to esophagus ... #Dysphagia #Differential ... #Diagnosis #Management ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids
 • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... Fluticasone 880 mcg ... bedtime increases esophageal ... is available Gastroenterology ... Corticosteroids #management
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... of Achalasia - ACG ... High resolution esophageal ... #ACG #Guidelines ... #gastroenterology