11 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... ) on Endoscopy ... #Black #Esophagus ... #Endoscopy #EGD ... #gastroenterology
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 ... #black #esophagus ... diagnosis #management #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Causes - Differential ... potentially be an acute ... Family history of IBD ... malignancy • Esophageal ... #Diagnosis #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Etiology: - Ischemia ... is restored to esophagus ... retrosternal chest pain ... distal third of esophagus ... diagnosis #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Extrinsic to esophagus ... weight loss or acute ... #Dysphagia #Differential ... Diagnosis #Management #gastroenterology
Causes of Nausea and Vomiting - Differential Diagnosis Framework

Chemoreceptor Trigger Zone/Area Postrema:
 • Drugs:
	- Chemo agents
	-
and Vomiting - Differential ... • Stress • Pain ... • Foods • IBS ... • Mesenteric ischemia ... diagnosis #causes #gastroenterology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... • Bursitis • IBD ... • PAD • Limb ischemia ... Immobilization) • Acute ... #differential #
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
saliva • Chest pain ... two-thirds of the esophagus ... , or endoscopic ... management #treatment #gastroenterology ... #esophageal #esophagus
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... with Afib with acute ... abdominal pain ... After manual/endoscopic ... clinical #colon #gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Acute Pancreatitis ... Epigastric abdominal pain ... Familial, Infectious, Ischemia ... gemfibrozil 600 bid ... Management #Treatment #Gastroenterology