11 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... #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 ... melena (70%), Dysphagia ... EGD and Biopsy Differential ... #black #esophagus ... diagnosis #management #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... Liquids (motor) - Lack ... Medicine @SCVMCMed #Dysphagia ... #Differential # ... solids #liquids #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Esophageal Dysphagia ... weight loss or acute ... #Dysphagia #Differential ... Diagnosis #Management #gastroenterology
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Cough - Diagnostic Schema ... disease: GERD, Dysphagia ... Autoimmune Vasculitis, ILD ... #Acute #Chronic ... #Differential #
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Etiology: - Ischemia ... symptoms include dysphagia ... circumferential black ... retrosternal or back ... diagnosis #management #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... potentially be an acute ... , diarrhea • Back ... malignancy • Esophageal ... #Diagnosis #gastroenterology
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... with Afib with acute ... After manual/endoscopic ... The black dots are ... clinical #colon #gastroenterology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
• Myocardial ischemia ... disease (GERD), esophageal ... Red Flags: • Dysphagia ... Odynophagia • Dysphonia ... Loss of vision or black
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

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