8 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD ... Ulcer Disease • Variceal ... #UGIB #GIBleed ... gastrointestinal #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Testing Ambulatory reflux ... Gastroesophageal #Reflux ... Disease #diagnosis #management ... #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... reflux resulting ... Diagnosis: - EGD ... Necrosis #diagnosis #management ... #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... Ddx: Gastric + esophageal ... PPI, octreotide, EGD ... -> variceal ligation ... Diagnosis #Hepatology #Gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... that specific variceal ... EGD and the Banding ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Treatment of Acute Esophageal ... role in acute esophageal ... variceal bleed ... Bleeding #varices #management ... ebm #evidence #gastroenterology
Los Angeles Classification of Reflux Esophagitis
Accurate endoscopic assessment of reflux esophagitis is vital in making accurate
Classification of Reflux ... decisions on patients' management ... involves >75% of the esophageal ... diagnosis #grading #gastroenterology ... #EGD
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax ... EGD: • Exclude ... LES pressure (eg ... Achalasia #diagnosis #management ... #treatment #gastroenterology