15 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... EGD and Biopsy ... PPI gtt, GI and Surgery ... #management #gastroenterology
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
on POCUS Echocardiogram ... Resolution: CT surgery ... Aortic #Dissection #Aorta ... #POCUS #Echocardiogram ... #Clinical #Ultrasound
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... Non-relaxation of EG ... mass, enlarged aorta ... #Differential #Diagnosis ... #causes #gastroenterology
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... drops his BP in ED ... What's the Diagnosis ... Dissection #Aortic #Aorta ... Echocardiogram #PLAX #Clinical
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... I achalasia, Type ... II achalasia, Type ... comparison #table #gastroenterology ... #diagnosis
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Before antireflux surgery ... Treatment - Antireflux surgery ... Reflux #Disease #diagnosis ... #management #Gastroenterology
Type B Aortic Dissection Flap on POCUS Echocardiogram - PLAX

Elderly male with hypertension and DM presents
Flap on POCUS Echocardiogram ... Diagnosis? ... the descending aorta ... Dissection #Flap #POCUS ... PLAX #Cardiology #clinical
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
restored to esophagus Clinical ... retrosternal chest pain Diagnosis ... : - EGD showing ... #Necrosis #diagnosis ... #management #gastroenterology
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... What’s your diagnosis ... @EQuirurgica #Esophageal ... esophagus #Endoscopy #EGD ... #clinical #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Barium Contrast Esophagram ... suggestive of end ... #radiology #gastroenterology ... #clinical #barium ... #contrast #Esophagram