30 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... EGD and Biopsy ... black #esophagus #diagnosis ... #management #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Jackhammer Esophagus or Esophageal ... Consider further diagnostics ... Step 4: Medical ... Jackhammer #Esophagus #Esophageal ... Spasm #Management #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... Summary GERD: Diagnosis ... Gastroesophageal #Reflux #Disease ... #diagnosis #management ... #Gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... Non-relaxation of EG ... junction: Achalasia, EG ... #Differential #Diagnosis ... #causes #gastroenterology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Disease (Cirrhosis ... • Ascites • Esophageal ... Complications #diagnosis
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Framework Symptom | Diagnosis ... stroke, Parkinson disease ... structural disorder → EGD ... #Management #gastroenterology
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Diagnosis and Management ... Gastroesophageal Reflux Disease ... Presentation Medical ... Gastroesophageal #Reflux #Disease ... Treatment #Algorithm #Gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Concern for Liver Disease ... Consult GI ± EGD ... • Peptic Ulcer Disease ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... obstruction, Distal esophageal ... peristalsis, GERD #Esophageal ... comparison #table #gastroenterology ... #diagnosis
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... retrosternal chest pain Diagnosis ... : - EGD showing ... #Necrosis #diagnosis ... #management #gastroenterology