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 ... KBrag_MD #Acute #Esophageal ... #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
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
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
Understanding Endoscopic Tools in EGD
 - Endoscopic Biopsies: Types of forceps, Technique, Complications
 - Food Bolus
Endoscopic Tools in EGD ... Endoscopic Biopsies: Types ... Bolus Removal - Esophageal ... #gastroenterology ... #management
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
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
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
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
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
with a Stanford Type ... The POCUS allowed ... the CV surgeon ... Delta Hospital #Clinical ... SuprasternalNotch #AorticFlap #Aorta