11 results
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... Non-relaxation of EG ... junction: Achalasia ... , EG junction outflow ... #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Chagas disease) Clinical ... sphincter to relax EGD ... leading to myenteric ... Three clinical features ... management #treatment #gastroenterology
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
mid or distal esophageal ... the esophagus leading ... remind you of Achalasia ... deformity offer clues ... Chest #XRay #cxr #clinical
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... UpperGI bleeding ... @EQuirurgica #Esophageal ... esophagus #Endoscopy #EGD ... #clinical #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... Management: • ACHALASIA ... patients with achalasia ... energy or heat to cause ... #accessories #EGD
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... disorder such as achalasia ... structural disorder → EGD ... the underlying cause ... Diagnosis #Management #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... unclear source (in case ... variceal ligation - EGD ... Surveillance EGD
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Barium Contrast Esophagram ... suggestive of end ... Types #radiology #gastroenterology ... #clinical #barium ... #contrast #Esophagram
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Fibrinolysis → End ... organ damage Clinical ... Treat primary cause ... Coagulation #diagnosis #causes ... treatment #management #hematology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Ddx: Gastric + esophageal ... PPI, octreotide, EGD ... - Ppx (non-bleeding ... RUQUS + AFP (q6m), EGD ... #Gastroenterology