31 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... Consult GI ± EGD ... Dieulafoy • Esophagitis ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... ReFerence #Score #diagnosis ... #classification ... #gastroenterology ... #EGD #grading
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Re-bleeding Ib - Oozing ... Re-bleeding #Forrest #Classification ... Risks #Grading #gastroenterology ... #EGD #clinical
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Pseudomembranous esophagitis ... black #esophagus #diagnosis ... #management #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... Ib - Active Oozing ... GIBleed #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... Algorithm Oropharyngeal ... , Eosinophilic esophagitis ... #Algorithm #solids ... #liquids #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
- Differential Diagnosis ... Algorithm Oropharyngeal ... esophagus: pill esophagitis ... #Differential #Diagnosis ... #Esophageal #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Complications: • Erosive esophagitis ... 3 hours before going ... Reflux #Disease #diagnosis ... #management #Gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... Non-relaxation of EG ... Strictures from esophagitis ... #Differential #Diagnosis ... #causes #gastroenterology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... change to different agent ... Colonoscopy +/- EGD ... anti-motility agents ... #Transplant #diagnosis