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 ... KBrag_MD #Acute #Esophageal ... #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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Impedance testing Esophageal ... Before antireflux surgery ... Treatment - Antireflux surgery ... Disease #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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... restored to esophagus Clinical ... Diagnosis: - EGD ... Necrosis #diagnosis #management ... #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... the duodenum Clinical ... de novo between aorta ... or within the aorta ... Management: SURGERY
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... pericardiocentesis kit (eg ... tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
oxygen. ❸ Stop surgery ... Other drugs at clinician ... X-ray as soon as clinically ... safe to do so. ⓮ Plan ... Checklist #Diagnosis #Management
Type A Aortic Dissection with Hemopericardium

This patient presents with chest pain. Which is the best next
CT surgery for repair ... Hemopericardium #Aorta ... #PLAX #Echocardiogram ... #POCUS #Clinical