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Diagnosis and Management of Barrett's Esophagus

Diagnosis
Screening
Surveillance Algorithm
Medical Treatment
Endoscopic Eradication Therapy (EET)

By Dr. Hima Veeramachaneni @hima_vee @EmoryGastroHep

#Barretts
Diagnosis and Management ... of Barrett's Esophagus ... #Barretts #Esophagus ... #Diagnosis #Management ... Treatment #Algorithm #Gastroenterology
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Travel History - ... Infectious Disease Diagnosis ... in a Traveler ... → Leptospirosis ... #differential #Diagnosis
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Consider further diagnostics ... #Jackhammer #Esophagus ... #gastroenterology
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
the Returning Traveler ... entenc fever, travellers ... schistosomiasis, leptospirosis ... days: malaria, travellers ... #History #diagnosis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning Travelers ... Frequent Differential Diagnoses ... Fever #Returning #Traveler ... #differential #diagnosis ... #tropical #travel
Rodent-associated Bacterial infections: Leptospirosis, Rat-bite fever, Tularemia, Plague 

#rodent
#infections
#leptospirosis
#tularemia
#ratbitefever
#plague
#rats
#infectiousdisease
#fever
#differential
#diagnosis
#management
#treatment
#table
Bacterial infections: Leptospirosis ... #infections #leptospirosis ... differential #diagnosis ... #management #
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Endoscopy in Barrett's Esophagus - Scoping Summary
- What we need to know?
   • Risk
Endoscopy in Barrett's Esophagus ... Endoscopy #Barretts #Esophagus ... #Summary #diagnosis ... #management #algorithm
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... (histological diagnosis ... BE - distal esophagus ... Documentation #EGD #diagnosis ... #gastroenterology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... disease ARDS Diagnosis ... TheIDtrivia #Leptospirosis ... #microbiology #diagnosis ... #treatment #management