Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma, Coal dust, Caustic ingestion, Pseudomembranous esophagitis, Infection (Candida, CMV, HSV, Klebsiella, pneumoniae) Management: NPO, no NGT, mlVF, PPI gtt, GI and Surgery consults +/- antibiotics Dr. Kevin Braghirol @KBrag_MD #Acute #Esophageal #Necrosis #black #esophagus #diagnosis #management #gastroenterology
