12 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 Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... , Distal Esophagus ... I achalasia, Type ... II achalasia, Type ... comparison #table #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
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
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.
Type A Dissection ... on POCUS (PLAX ... drops his BP in ED ... Dissection #Aortic #Aorta ... Echocardiogram #PLAX #Clinical
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 ... #radiology #gastroenterology ... #clinical #barium
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
Type A Aortic Dissection with Hemopericardium

This patient presents with chest pain. Which is the best next
Type A Aortic Dissection ... CT surgery for repair ... Hemopericardium #Aorta ... Echocardiogram #POCUS ... #Clinical #Ultrasound