9 results
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Lambert Eaton, Muscular ... Non-relaxation of EG ... Extrinsic compression: Vascular ... mass, enlarged aorta ... Diagnosis #causes #gastroenterology
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
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... event (low flow vascular ... state) predisposes esophageal ... Diagnosis: - EGD ... diagnosis #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... regurgitation of fluids • Muscular ... Esophageal Dysphagia ... structural disorder → EGD ... Diagnosis #Management #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 ... Management: SURGERY ... Management #Summary #vascular
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... • Cardiac surgery ... Shock Treatment - ED ... diagnosis #management #vascular
Ruptured AAA on POCUS

This clip is taken from a 60yo female who also has left hydronephrosis.
Ruptured AAA on POCUS ... interruption of the aorta ... posteriorly near the end ... Aortic #Aneurysm #POCUS ... clinical #ultrasound #Vascular
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
transported to our ED ... The POCUS allowed ... the CV surgeon ... Hospital #Clinical #POCUS ... SuprasternalNotch #AorticFlap #Aorta