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

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... heart burn, chest pain ... High resolution esophageal ... Botulinum toxin • Pharmacologic ... ACG #Guidelines #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Neurodegenerative disorders • Infection ... saliva • Chest pain ... : Testing The diagnosis ... #diagnosis #management ... #treatment #gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Epigastric abdominal pain ... dysfunction), Familial, Infectious ... • Antibiotics ... #Management #Treatment ... #Gastroenterology