Acute Esophageal Necrosis
History: Hematemesis and/or ...
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Description

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
Contributed by

Dr. Michael Chew
@mchew85
GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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