6 results
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
Gastroesophageal Reflux ... Symptoms Long-Term PPI ... Algorithm Refractory ... Gastroesophageal #Reflux ... #Gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal Necrosis ... chest pain, Sepsis Diagnosis ... no NGT, mlVF, PPI ... Acute #Esophageal #Necrosis ... #management #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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... promote esophageal reflux ... 48 hours - IV PPI ... #diagnosis #management ... #gastroenterology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
- Differential Diagnosis ... Algorithm Acute ... Acute Tubular Necrosis ... , allopurinol, PPI ... #Algorithm #Causes
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... Algorithm - Step ... consider alternative diagnosis ... meals #Acid #Reflux ... #ppi