9 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
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
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
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 ... What's the Diagnosis ... Dissection #Aortic #Aorta
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
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
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
Complications Stoma Types ... : • 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
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 ... for a more rapid diagnosis ... SuprasternalNotch #AorticFlap #Aorta