esophagitis eoe ucsdh pocus

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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

Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye.
Note that

this case) right eye ... greater portion of eye ... Goldberg, M.D. - UCSD ... Syndrome #Ptosis #UCSDH

Herpes Zoster: Herpes virus mediated infection that occurred in this patient receiving chemotherapy
for an underlying

prominent below left eye ... Goldberg, M.D. - UCSD ... Herpes #Zoster #V1 #UCSDH

V2 Distribution Zoster: Patient with herpes zoster infection of the maxillary branch of the fifth cranial

to involve the eye ... Goldberg, M.D. - UCSD ... V2 #Maxillary #UCSDH

Babinski Response: Note upgoing great toe upon stimulation of lateral foot in patient with
upper motor neuron

upgoing great toe ... Goldberg, M.D. - UCSD ... UpperMotorNeuron #UCSDH

$Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:$

Refractory Eosinophilic Esophagitis ... (EOE) Management ... elimination Continued EoE ... #EoE #Refractory ... #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

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

Ever wanted to check pupillary light reflex in an eye that's swollen shut? Remember this trick:

1.

light reflex in an eye ... Ultrasound swollen eye ... light in opposite eye ... #Clinical #POCUS

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