8 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... PPI gtt, GI and Surgery ... #Esophageal #Necrosis ... diagnosis #management #gastroenterology
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... DrJBerrueta #Acute ... #Esophageal #Necrosis ... Esophagus #Endoscopy #EGD ... #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... Non-relaxation of EG ... junction: Achalasia, EG ... mass, enlarged aorta ... Diagnosis #causes #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Impedance testing Esophageal ... Before antireflux surgery ... Barrett esophagus or esophageal ... Treatment - Antireflux surgery ... diagnosis #management #Gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... Esophageal Dysphagia ... weight loss or acute ... structural disorder → EGD ... Diagnosis #Management #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
de novo between aorta ... patients with acute ... Sensitivity of EGD ... or within the aorta ... Management: SURGERY
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
for Treatment of Acute ... Esophageal Variceal ... ) - No role in acute ... • Surgery (PMID ... ebm #evidence #gastroenterology
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
transported to our ED ... The POCUS allowed ... the CV surgeon ... Hospital #Clinical #POCUS ... SuprasternalNotch #AorticFlap #Aorta