10 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Epigastric/chest pain ... , Sepsis Diagnosis ... Esophageal #Necrosis #black ... #esophagus #diagnosis ... #management #gastroenterology
Lyme Disease - Diagnosis and Management Summary

Lyme Disease Epidemiology:
- Spirochete
- Reservoir: small mammals & birds
- Transmitted
Lyme Disease - Diagnosis ... and Management ... Carditis: - AV block ... Joint swelling/pain ... #Diagnosis #Management
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
- Differential Diagnosis ... pulpitis) • Trigeminal ... Loss of vision or black ... differentiate disease ... #differential #diagnosis
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
neurodegenerative disease ... Sensitivity to pain ... , Trigeminal neuralgia ... Plasma exchange (PLEX ... #management #neurology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... Summary GERD: Diagnosis ... regurgitation • Chest pain ... #diagnosis #management ... #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
retrosternal chest pain ... Diagnosis: - EGD ... circumferential black ... retrosternal or back pain ... #management #gastroenterology
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... and Management ... RBBB; others: AV blocks ... 80%) (abdominal pain ... #Management #Treatment
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
intolerance, chest pain ... Valvular heart disease ... bundle branch block ... Fibrillation #AFib #diagnosis ... #management #cardiology
Bradykinin-mediated Angioedema
Clinical features: Submucosal oedema (face, extremity, genitalia), Laryngeal dyspnea (25% of deaths), Recurrent attacks of
attacks of abdominal pain ... MGUS), autoimmune disease ... Iatrogenic: ACEI (black ... allergy #immunology #diagnosis ... #management #treatment
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
saliva • Chest pain ... : Testing The diagnosis ... #Achalasia #diagnosis ... #management #treatment ... #gastroenterology