11 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
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... #Perforation #esophagus ... #Endoscopy #EGD ... #clinical #gastroenterology ... #rupture
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 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
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
AAA rupture with retroperitoneal bleed on ultrasound

65yo male smoker presents with left flank pain after a
AAA rupture with ... 796078587715710976 Surgery ... #bleed #POCUS # ... clinical #Ultrasound ... AorticAneurysm #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
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Barium Contrast Esophagram ... suggestive of end ... LES since the esophagus ... Types #radiology #gastroenterology ... #clinical #barium
Ruptured AAA on POCUS

This clip is taken from a 60yo female who also has left hydronephrosis.
POCUS This clip ... interruption of the aorta ... posteriorly near the end ... Aortic #Aneurysm #POCUS ... #clinical #ultrasound