13 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
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... on POCUS Echocardiogram ... Resolution: CT surgery ... Aortic #Dissection #Aorta ... #POCUS #Echocardiogram
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
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
- Barium Contrast ... Esophagram: 1) ... suggestive of end ... #radiology #gastroenterology ... #Esophagram
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Hypo-contractile Type ... I achalasia, Type ... II achalasia, Type ... comparison #table #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 ... DavidPigottMD #TypeA ... Dissection #Aortic #Aorta
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
Understanding Endoscopic Tools in EGD
 - Endoscopic Biopsies: Types of forceps, Technique, Complications
 - Food Bolus
Endoscopic Tools in EGD ... Endoscopic Biopsies: Types ... Bolus Removal - Esophageal ... Endoscopy #Tools #EGD ... #gastroenterology
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
Complications Stoma Types ... ileostomy • End ... : • Irritant contact ... dermatitis, Allergic contact ... Complications #diagnosis #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
de novo between aorta ... Sensitivity of EGD ... or within the aorta ... extravasation of contrast ... Management: SURGERY