Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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gastroenterology esophageal eoe acute black comparison disorders esophagitis gastroenteritis motility necrosis response spasm table treatment
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 ... Step 5: POEM #Jackhammer ... #Esophagus #Esophageal
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis ... Histology: Persistent eosinophilia ... Histology: Reduced eosinophilia ... Endoscopy: Normal esophagus ... EoE #Response #diagnosis
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
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease Mild: • Trial of PPI • Trial
Eosinophilic Gastroenteritis ... • Additional diagnostic ... scan #EoE #Eosinophilic ... Gastroenteritis #Treatment #management
Esophageal Motility Disorders Obstructive Physiology: EGJ, Distal Esophagus Distal Contractility: Hyper-contractile, Hypo-contractile Type I achalasia, Type II achalasia, Type
Physiology: EGJ, Distal Esophagus ... esophageal spasm, Jackhammer ... gastroenterology #diagnosis
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