5 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal Necrosis ... mlVF, PPI gtt, GI ... Surgery consults +/- antibiotics ... Acute #Esophageal #Necrosis ... #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Unstable (Rule out upper ... GI bleed) vs Stable ... LGIB #GIBleed #management ... gastrointestinal #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... patients present with upper ... melena - Other GI ... #diagnosis #management ... #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... solid lesions (upper ... or lower GI tract ... #Indications #Gastroenterology ... #Management
IgA Vasculitis – Henoch Scholein Purpura: Pathogenesis and Clinical Findings

 - Infectious Agents - 50% have
have preceding upper ... i.e., influenza virus ... Drugs - I.e., antibiotics ... biologics (tumor necrosis ... nausea, vomiting, GI