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Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... ACG Guidelines ... diagnosed with GERD ... • Endoscopy to look ... #gastroenterology
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
biopsy, Recurrent acute ... pancreatitis (treatment ... Stone extraction, Endoscopic ... #Indications #management ... #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... : • ACHALASIA BALLOON ... patients with achalasia ... for palliative treatment
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Acute Pancreatitis ... HyperCa2+ • Other: ERCP ... Familial, Infectious, Ischemia ... #Pancreatitis #Acute ... #Treatment #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax EGD ... GERD 2. ... , or endoscopic ... #diagnosis #management ... #treatment #gastroenterology
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
Diagnosis and Management ... Diagnosis: • Endoscopic ... Test or repeat EGD ... #Treatment #quadruple ... quadrupletherapy #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Necrosis Etiology: - Ischemia ... Obstruction with GERD ... Diagnosis: - EGD ... Necrosis #diagnosis #management ... #gastroenterology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... , AKI, acute limb ... ischemia, bowel ... + lab signs of end ... TLS #diagnosis #management
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
disorder such as achalasia ... weight loss or acute ... structural disorder → EGD ... Treatment • ... #gastroenterology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... drained if causing acute ... antiarrhythmics - Ischemic ... Revascularization, treatment ... for acute MI if