Pearls from Dr. Arthur Magun

60 y/o with post-postprandial emesis and weight loss found to have Esophageal SCC

2017-01-04

  • Postprandial emesis suggests lower esophageal disease.
    On Exam: 

    Posted 01/04/17 11:09:39 AM by Adam Faye

  • UGI Series: Drink barium contrast and multiple radiographs taken to see how contrast moves through esophagus and stomach

    Endoscopy

    Posted 01/04/17 11:14:18 AM by Adam Faye

  • Short-Segment Barrett's:

    Posted 01/04/17 11:21:24 AM by Adam Faye

  • Esophageal Carcinoma: Two main subtypes of esophageal carcinoma

    Squamous Cell Carcinoma (precursor: squamous dysplasia)
    Adenocarcinoma (precursor: Barrett’s esophagus)

    Posted 01/04/17 11:23:17 AM by Adam Faye

  • Esophageal SCC Treatment: Standard is concurrent radiation + chemotherapy

    Radiation
    Chemotherapy
    Palliation

    Posted 01/04/17 11:25:25 AM by Adam Faye

  • 71 y/o M hx of Protein S Deficiency and chronic PVT who p/w hematemesis and gets TIPS

    2017-04-05

  • Chronic Portal Vein Thrombosis

    Posted 04/05/17 09:27:16 AM by Ying Liu

  • Protein S Deficiency

    Posted 04/05/17 09:27:39 AM by Ying Liu

  • TRALI (Transfusion Related Acute Lung Injury)

    Posted 04/05/17 09:28:21 AM by Ying Liu

  • 65yo M with CHF, hx prostate Ca p/w SOB ultimately found to have LGIB 2/2 radiation proctitis

    2018-03-08


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