17 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Esophageal Necrosis (Black ... Esophagus) on Endoscopy ... Esophageal #Necrosis #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,
melena (70%), Dysphagia ... chest pain, Sepsis Diagnosis ... Esophageal #Necrosis #black ... #esophagus #diagnosis ... #management #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Diagnosis Algorithm ... Sjogren, web • Mid esophagus ... #Differential #Diagnosis ... Oropharyngeal #Esophageal #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... Oropharyngeal Dysphagia ... Hypercontractile Esophagus ... #Differential #Diagnosis ... #causes #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... Diagnosis Algorithm ... Liquids (motor) - Lack ... #Differential #Diagnosis ... solids #liquids #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Diagnosis Framework ... Symptom | Diagnosis ... Extrinsic to esophagus ... #Diagnosis #Management ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... score < 20 • Endoscopy ... : Normal esophagus ... EoE #Response #diagnosis ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... symptoms include dysphagia ... circumferential black ... distal third of esophagus ... #management #gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy ... #EGD #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... Reflux #Disease #diagnosis ... #management #Gastroenterology