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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,
Acute Esophageal ... melena (70%), Dysphagia ... 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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... Etiology: - Ischemia ... symptoms include dysphagia ... circumferential black ... #management #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... , diarrhea • Back ... malignancy • Esophageal ... Still's disease • Necrotic ... #Diagnosis #gastroenterology
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... After manual/endoscopic ... The black dots are ... clinical #colon #gastroenterology ... #necrotic
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Familial, Infectious, Ischemia ... complications), MRCP (necrosis ... gemfibrozil 600 bid ... calcitonin • Infected Necrosis ... Management #Treatment #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
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... requires clinical and endoscopic ... ) • Vascular: Ischaemia ... Ulceration #diagnosis #differential ... #gastroenterology