13 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 ... Necrosis #black #esophagus ... diagnosis #management #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Non-relaxation of EG ... junction: Achalasia, EG ... Hypercontractile Esophagus ... mass, enlarged aorta ... Diagnosis #causes #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Before antireflux surgery ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Treatment - Antireflux surgery ... diagnosis #management #Gastroenterology
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... @EQuirurgica #Esophageal ... #Perforation #esophagus ... #Endoscopy #EGD ... #clinical #gastroenterology
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS ... (PLAX view) ... drops his BP in ED ... Dissection #Aortic #Aorta ... #Clinical #Ultrasound
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... Clinical Manifestations ... Diagnosis: - EGD ... distal third of esophagus ... diagnosis #management #gastroenterology
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
Dissection on POCUS ... Resolution: CT surgery ... Aortic #Dissection #Aorta ... #Clinical #Ultrasound ... #PLAX
Dilated esophagus and stricture in setting of malignancy seen on POCUS cardiac echocardiogram
85 yo has chest
Dilated esophagus ... Cardiac POCUS shows ... #Esophageal #stricture ... echocardiogram #clinical ... #plax #esophagus
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
yo M sent from clinic ... to ED for + blood ... POCUS shows aortic ... #Cardiac #PLAX ... #AorticValve #Aorta
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Chagas disease) Clinical ... sphincter to relax EGD ... Three clinical features ... management #treatment #gastroenterology ... #esophageal #esophagus