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