15 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... EGD and Biopsy ... #Esophageal #Necrosis ... #management #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Acute Hemorrhage ... Risk 60-100% Ib ... GIBleed #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... and Management ... unclear source (in case ... #Diagnosis #Management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Causes of Upper ... Disease • Variceal Bleeding ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Stool Cultures - Indications in Diarrhea
Patient Categories to Order Stool Cultures On:
 • Persisting 1 week
immunocompromised, IBD ... Few infectious causes ... of acute gastroenteritis ... #Indications #diagnosis ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... weight loss or acute ... structural disorder → EGD ... the underlying cause ... #Management #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
for Treatment of Acute ... Esophageal Variceal ... ) - No role in acute ... #varices #management ... ebm #evidence #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... energy or heat to cause ... ENTEROSCOPE - Diagnostic ... Aguila @enrrikke #Gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
potentially be an acute ... Family history of IBD ... malignancy • Esophageal ... aneurysms • Acute ... #gastroenterology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
malignancy (Especially acute ... Fibrinolysis → End ... #Coagulation #diagnosis ... #causes #treatment ... #management #hematology