10 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... melena (70%), Dysphagia ... chest pain, Sepsis Diagnosis ... #Necrosis #black ... #management #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Dysphagia - Differential ... Diagnosis Algorithm ... Liquids (motor) - Lack ... #Differential #Diagnosis ... solids #liquids #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Diagnosis Framework ... Symptom | Diagnosis ... Esophageal Dysphagia ... #Diagnosis #Management ... #gastroenterology
Endoscopic Surveillance and Management of Colorectal Dysplasia in Inflammatory Bowel Diseases

By Dr. Cicily Vachaparambil @CicilyVachaMD via
Surveillance and Management ... of Colorectal Dysplasia ... #Dysplasia #IBD ... #gastroenterology ... #diagnosis #management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
symptoms include dysphagia ... retrosternal chest pain Diagnosis ... circumferential black ... #Necrosis #diagnosis ... #management #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... Reflux #Disease #diagnosis ... #management #Gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
- Differential Diagnosis ... , diarrhea • Back ... malignancy • Esophageal ... obstruction • Colorectal ... #gastroenterology
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
Colorectal Cancer ... to assess for dysplasia ... 8 years after diagnosis ... #PrimaryCare #Gastroenterology ... #Management #Colonoscopy
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... : Testing The diagnosis ... #Achalasia #diagnosis ... #management #treatment ... #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... with progressive dysphagia ... High resolution esophageal ... #Management #ACG ... #Guidelines #gastroenterology