8 results
Diagnosis of EGJOO in a Patient with Dysphagia, Chest Pain, Food Impaction
Esophagogastric junction outflow obstruction

#EGJOO #Diagnosis
with Dysphagia, Chest ... Esophagogastric junction outflow ... EGJOO #Diagnosis #management ... #algorithm #gastroenterology ... #outflow #obstruction
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Dysphagia, Epigastric/chest ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
regurgitation • Chest ... manifestations • Chest ... Disease #diagnosis #management ... #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
epigastric/retrosternal chest ... Necrosis #diagnosis #management ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
but often feel chest ... sitting” in the chest ... Differential #Diagnosis #Management ... #gastroenterology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
LVOT VTI: Measure outflow ... blood flow in the chest ... comparison #challenges #management
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... liquids, heart burn, chest ... Achalasia #Diagnosis #Management ... ACG #Guidelines #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
food or saliva • Chest ... Achalasia #diagnosis #management ... #treatment #gastroenterology