2733 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Hematemesis and/or melena ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... bleed Suspected: Melena ... Differential #Diagnosis #management
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - Management ... Hematochezia • Melena ... LGIB #GIBleed #management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
• Hematemesis/melena ... Disease #diagnosis #management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
hematemesis and/or melena ... Necrosis #diagnosis #management
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Acute Hematemesis/Melena ... stools - If Melena ... #Hematemesis #Melena
Black and Bloody Stools - Melena and Hematochezia
Melena - Refers to passage of black, tarry (sticky
Bloody Stools - Melena ... and Hematochezia Melena ... In infants, melena ... #Melena #Hematochezia
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
hematemesis and/or melena ... Can present with melena
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
CulshawReed and Elena ... #Pharmacology #Management
CAP, HCAP, HAP and VAP - Diagnosis and Treatment

HCAP & CAP – those presenting to the
Milana Bogorodskaya ... Community #Diagnosis #Management