39 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 ... diagnosis #management #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
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... @EQuirurgica #Esophageal ... esophagus #Endoscopy #EGD ... #clinical #gastroenterology ... #rupture
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Another spontaneous esophageal ... Syndrome #Endoscopy #EGD ... #esophageal #perforation ... #clinical #gastroenterology
AAA is defined as a localized balloon-like dilatation of the abdominal aorta greater than 3cm. Risk
the abdominal aorta ... to the risk of rupture ... , elective surgery ... Singh, MD #Clinical ... #Radiology #POCUS
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
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
hanging off the end ... The clinician squeezes ... accessory muscles (eg ... #physicalexam #surgery ... #msk #sports #clinical
AAA Rupture on Abdominal POCUS
Another patient with ruptured AAA.  Note again abnormal wall motion at
POCUS Another patient ... with ruptured AAA ... #Aorta #Abdominal ... #Aneurysm #POCUS ... #clinical #ultrasound
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... state) predisposes esophageal ... restored to esophagus Clinical ... Diagnosis: - EGD ... diagnosis #management #gastroenterology
AAA Rupture on POCUS - Transverse view mid Aorta-with Doppler.
Severe mid-abd pain/older female. You see what
AAA Rupture on POCUS ... Transverse view mid Aorta-with ... flap by novice POCUS ... aortic #aneurysm #aort ... Doppler #color #clinical