19 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... Necrosis #black #esophagus ... diagnosis #management #gastroenterology
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Causes of Small Bowel ... Bleeding - Differential ... #SmallBowel #Bleeding ... #Differential # ... Diagnosis #Causes #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Classic triad: Bleeding ... • Should be on differential ... may undergo EGD ... Sensitivity of EGD ... - If negative, EGD
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
UpperGI bleeding ... #Perforation #esophagus ... #Endoscopy #EGD ... #clinical #gastroenterology
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Obstruction - Differential ... Phytobezoar, Parasite, Swallowed ... perforate the bowel ... Diagnosis #SBO #bowel ... #Causes #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Extrinsic to esophagus ... Barium swallow is ... structural disorder → EGD ... Diagnosis #Management #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
of Dysphagia - Differential ... Non-relaxation of EG ... Hypercontractile Esophagus ... Esophageal #Dysphagia #Differential ... Diagnosis #causes #gastroenterology
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
Stoma Types: • End ... ileostomy • End ... Infection • Bleeding ... digestion • Bowel ... Complications #diagnosis #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Bleed (Other than EGD ... of most small-bowel ... bleed may obscure bleeding ... and inflammatory bowel ... GIBleed #management #gastroenterology