15 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal Necrosis ... Sepsis Diagnosis EGD ... Pseudomembranous esophagitis, Infection ... Surgery consults +/- antibiotics ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... use, infections ... Diagnosis: - EGD ... #diagnosis #management ... #gastroenterology
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
changes (brown: post-inflammatory ... • Ischemia, Necrosis ... dehiscence • Infection ... • Persistent infections ... Complications #diagnosis #gastroenterology
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
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
inflammation and necrosis ... up to 10w post-ABx ... continue Tx for 7d post-Abx ... #treatment #infectiousdiseases ... #IDSA #gastroenterology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Diagnosis and Management ... Etiology: • Necrosis ... polymicrobial infection ... • Most common ... Tissue necrosis
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
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
dysfunction), Familial, Infectious ... complications), MRCP (necrosis ... • Antibiotics ... calcitonin • Infected Necrosis ... #Treatment #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
Considerations for progression of disease while on antimicrobial therapy:
 - Source Control?
 - Wrong bug?
 -
- Wrong host? ... febrilepodcast] #InfectiousDiseases ... #Infections #progression ... antimicrobial #antibiotics ... Differential #Diagnosis #Management