20 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 ... EGD and Biopsy ... #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 ... junction: Achalasia, EG ... #Diagnosis #causes ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Diagnosis Framework ... Esophageal Dysphagia ... structural disorder → EGD ... #Diagnosis #Management ... #gastroenterology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... forceps biopsy (EGD ... #Risks #Gastroenterology ... #Management #Guidelines
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
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... • Ascites • Esophageal ... Complications #diagnosis ... #management #summary ... #hepatology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... and Management ... Surveillance EGD ... #Diagnosis #Management
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... UpperGI bleeding ... What’s your diagnosis ... esophagus #Endoscopy #EGD ... #clinical #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... Disease • Variceal Bleeding ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
symptoms include dysphagia ... retrosternal chest pain Diagnosis ... : - EGD showing ... #Necrosis #diagnosis ... #management #gastroenterology