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 ... melena (70%), Dysphagia ... EGD and Biopsy ... #Necrosis #black ... #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Esophageal Dysphagia ... disorder URGENT WORKUP ... structural disorder → EGD ... #gastroenterology ... #workup
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
symptoms include dysphagia ... : - EGD showing ... circumferential black ... #Necrosis #diagnosis ... #management #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Ddx: Gastric + esophageal ... PPI, octreotide, EGD ... - Ppx (non-bleeding ... Mnemonic #Management #Diagnosis ... #Hepatology #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... : Testing The diagnosis ... Short duration of dysphagia ... #Achalasia #diagnosis ... management #treatment #gastroenterology