15 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... • Solid-food dysphagia ... Extrinsic to esophagus ... ("Transfer dysphagia ... #Diagnosis #Management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Necrosis should ... symptoms include dysphagia ... NGT placement should ... Esophageal perforation should ... Necrosis #diagnosis #management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Disease #diagnosis #management
Emergency Laryngectomy Management

This algorithm is paired with the red bed-head sign and indicates that the patient
Emergency Laryngectomy Management ... conventional upper airway management ... speech via the oesophagus ... These devices should ... #Management #CriticalCare
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
rolls onto his/her shoulder ... instructions #clinical #video ... #physicalexam #management
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... two-thirds of the esophagus ... Short duration of dysphagia ... pseudoachalasia should ... Achalasia #diagnosis #management
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
to assess for dysplasia ... than the rectum should ... cholangitis (PSC) should ... Gastroenterology #Management
Cold Snare Polypectomy
When Should I Use Cold Snare Polypectomy?
 - Cold snare polypectomy should be used
Polypectomy When Should ... snare polypectomy should ... treatment of SSL with dysplasia ... gastroenterology #management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
opposite (left) shoulder ... onto the right shoulder ... from the right shoulder ... instructions #clinical #video ... #physicalexam #management