6 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... Klebsiella, pneumoniae) Management ... Surgery consults +/- antibiotics ... #gastroenterology
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
Helicobacter Pylori ... (IgG) - cannot differentiate ... past infection ... Test or repeat EGD ... quadrupletherapy #gastroenterology
Refractory Helicobacter Pylori Infection

Causes:
 • Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 • Non-adherence (i.e.
Refractory Helicobacter ... Causes: • Antibiotic ... suppression) • Host ... HPylori #diagnosis #management ... #algorithm #gastroenterology
Considerations for progression of disease while on antimicrobial therapy:
 - Source Control?
 - Wrong bug?
 -
- Wrong host? ... febrilepodcast] #InfectiousDiseases ... antimicrobial #antibiotics ... #checklist #Differential ... #Diagnosis #Management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... Diagnosis: - EGD ... obstruction - Most ... Necrosis #diagnosis #management ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... structural disorder → EGD ... #Dysphagia #Differential ... #Diagnosis #Management ... #gastroenterology