14 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
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... is restored to esophagus ... symptoms include dysphagia ... distal third of esophagus ... Necrosis #diagnosis #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... Bulbar- 15%: Dysphagia ... “dropping head syndrome ... weakness: - Dysphagia ... Gravis #diagnosis #management
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Boerhaave Syndrome ... #Boerhaave #Syndrome ... clinical #endoscopy #video ... #EGD #esophagus
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Stuttering speech, Dysphagia ... sclerosis #diagnosis #management
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Peutz-Jeghers Syndrome ... (JPS), Cowden Syndrome ... Peutz-Jeghers Syndrome ... polyp types - Esophagus ... #diagnosis #management
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... Perforation (Boerhaave Syndrome ... #Boerhaave #Syndrome ... clinical #endoscopy #video ... #EGD #esophagus
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
severe dysarthria, dysphagia ... difficulty), bulbar syndrome ... (dysphagia, sialorrhea ... palsy (PSP like) syndrome ... PhysicalExam #clinical #video