13 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 ... Klebsiella, pneumoniae) Management ... Surgery consults +/- antibiotics ... esophagus #diagnosis #management ... #gastroenterology
Considerations for progression of disease while on antimicrobial therapy:
 - Source Control?
 - Wrong bug?
 -
- Wrong host? ... febrilepodcast] #InfectiousDiseases ... #Infections #progression ... #checklist #Differential ... #Diagnosis #Management
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Diagnosis and Management ... Most invasive infections ... immunosuppression (eg ... IA #Diagnosis #Management ... treatment #fungal #infectiousdiseases
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
Pylori (H. pylori) Infection ... differentiate past ... infection Management ... Test or repeat EGD ... quadrupletherapy #gastroenterology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Diagnosis and Management ... up to 10w post-ABx ... continue Tx for 7d post-Abx ... #treatment #infectiousdiseases ... #IDSA #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... use, infections ... Diagnosis: - EGD ... Necrosis #diagnosis #management ... #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... setting of active GI infection ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #Management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... if symptoms of infection ... Monitoring - Most ... main ones) - Antibiotics ... #Management #CriticalCare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
≥ 4mmol.l-1 if infection ... most likely underlying ... Discuss ongoing management ... Intraoperative #Checklist ... #Diagnosis #Management
Refractory Helicobacter Pylori Infection

Causes:
 • Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 • Non-adherence (i.e.
Helicobacter Pylori Infection ... Causes: • Antibiotic ... suppression) • Host ... HPylori #diagnosis #management ... #algorithm #gastroenterology