7 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Epigastric/chest pain ... EGD and Biopsy Differential ... mlVF, PPI gtt, GI ... #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Causes - Differential ... the patient • Blood ... malignancy • Esophageal ... mesenteric ischemia • GI ... #Diagnosis #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
resolve rapidly when blood ... melena - Other GI ... retrosternal chest pain ... Necrosis #diagnosis #management ... #gastroenterology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... hematuria + clots ➔ Lower ... Pseudohematuria: • GI ... bleed • Menstruation
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... - Differential ... Stool + Occult blood ... OUT BRISK Upper GI ... bleed, • Acute
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
presenting with acute ... Lower GI Bleed ... if indicated, blood ... IV fluids and blood ... #Lower #GIBleed
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... • Restrictive blood ... • Rescope if bleed ... #gastroenterology