8 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 ... no NGT, mlVF, PPI ... black #esophagus #diagnosis ... #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 ... Symptoms Long-Term PPI ... Algorithm Refractory ... Management #Treatment #Algorithm ... #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
indications → PPI ... Therapeutic trial of PPI ... → discontinue PPI ... recurrence → EGD off PPI ... impedance pH) • PPI
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
- Differential Diagnosis ... Algorithm Labs ... Achlorhydria: PPI ... #Differential #Diagnosis ... #Algorithm #ferritin
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 • Blood loss: GI (cancer, ulcer, IBD), GU
- Differential Diagnosis ... Algorithm • Blood ... achlorhydria: PPI ... #Differential #Diagnosis ... #Causes #Fe #algorithm
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... retrosternal chest pain Diagnosis ... 48 hours - IV PPI ... #Necrosis #diagnosis ... #management #gastroenterology
Basics of Esophageal Strictures
 - History & Physical
 - When is a barium swallow helpful?
 -
Basics of Esophageal ... strictures, do you need PPI ... - Dilation of Esophageal ... egd #management #diagnosis ... #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
: Ceftriaxone, Ppx ... Ddx: Gastric + esophageal ... - Tx: PPI, octreotide ... Mnemonic #Management #Diagnosis ... #Hepatology #Gastroenterology