21 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
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... disorder URGENT WORKUP ... structural disorder → EGD ... #Management #gastroenterology ... #workup
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
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
incidentally during medical ... evaluation or workup ... signs or symptoms (eg ... , skin or esophageal ... #Differential #diagnosis
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Impedance testing Esophageal ... Barrett esophagus or esophageal ... Reflux #Disease #diagnosis ... #management #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
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
endoscopically suspected esophageal ... (histological diagnosis ... Documentation #EGD ... #diagnosis #gastroenterology
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... What’s your diagnosis ... @EQuirurgica #Esophageal ... esophagus #Endoscopy #EGD ... #clinical #gastroenterology