13 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... Esophagus) on Endoscopy ... #Necrosis #Black ... #EGD #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... Sepsis Diagnosis EGD ... and Biopsy Differential ... #Necrosis #black ... 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
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential ... Non-relaxation of EG ... junction: Achalasia, EG ... #Dysphagia #Differential ... Diagnosis #causes #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Esophageal Dysphagia ... structural disorder → EGD ... #Dysphagia #Differential ... Diagnosis #Management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Etiology: - Ischemia ... symptoms include dysphagia ... Diagnosis: - EGD ... circumferential black ... diagnosis #management #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... , diarrhea • Back ... Family history of IBD ... malignancy • Esophageal ... #Diagnosis #gastroenterology
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
Diagnosis: • Endoscopic ... (IgG) - cannot differentiate ... (or doxy 100mg bid ... Test or repeat EGD ... quadrupletherapy #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... sphincter to relax EGD ... Short duration of dysphagia ... , or endoscopic ... management #treatment #gastroenterology
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
requires clinical and endoscopic ... Eosinophilic, CVID, Hyper IgD ... ) • Vascular: Ischaemia ... Ulceration #diagnosis #differential ... #gastroenterology