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Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... (EOE) Management ... Elemental diet, Clinical ... #EoE #Refractory ... #Eosinophilic #Esophagitis
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis ... (EoE) - Spectrum ... /hpf 1-6 eos/hpf ... #Eosinophilic #Esophagitis ... #EoE #Response
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Eosinophilic #Esophagitis
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... testing directed #EoE ... #Eosinophilic #Esophagitis
Eosinophilic esophagitis management algorithm according to available consensus guidelines and expert recommendations. EGD=esophagogastroduodenoscopy; PPI=proton pump inhibitor;
Eosinophilic esophagitis
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
patient presented to clinic ... loss in the left eye ... noted in the left eye ... patient returned to clinic ... #PhysicalExam #clinical
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 Upper GI Bleed - Management Algorithm Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR Initial Stabilization Concern for
Dieulafoy • Esophagitis
Dysphagia - Differential Diagnosis Algorithm Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow Esophageal
, Eosinophilic esophagitis
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis • Gastroesophageal reflux disease • Eosinophilic gastrointestinal
Eosinophilia (EoE ... reactions • Pill esophagitis ... • Stasis esophagitis ... wasting syndrome #Eoe ... #esophagitis #Eosinophilic
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
syndrome), Variceal, Esophagitis
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