Esophageal "stricture cannot be successfully remediated to a diameter of 14 mm over 5 sessions at 2-week intervals it is considered refractory; if one cannot maintain a satisfactory luminal diameter for 4 weeks once 14 mm has been achieved it is considered recurrent"
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Olympus 190 egd scope diameter 9.9 mm. 180 diameter is 8.8 mm.. ...Read more | 190
Acidic and alkali substances can lead to esophageal injury. Strictures can form weeks to years later.
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Alkaline caustic ingestion can lead to an increased risk of squamous cell carcinoma of the esophagus.
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Blood in the fundus, body, and antrum interfering with visualization. Grade 2 esophageal varices with nipple sign[]. Banded times three with eradication of varices.
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Hematemesis -
Differential diagnosis includes gastric ulcer, gastritis, esophagitis, and Mallory-Weiss tear.
Risks/benefits of EGD discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
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Hematemesis -
Differential diagnosis includes gastric ulcer and esophageal varices.
Risks/benefits of EGD with possible variceal banding discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
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Hematemesis - Differential diagnosis includes gastric ulcer, gastritis, esophagitis, and Mallory-Weiss tear. Risks/benefits of EGD discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. Higher risk procedure considering age and cardiac comorbidities[]. A total of 35 minutes were spent face-to-face with the patient during this encounter.
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Hematemesis -
Differential diagnosis includes gastric ulcer and esophageal varices.
Risks/benefits of EGD with possible variceal banding discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. Patient counseled on avoiding alcohol use.
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Hematemesis - Differential diagnosis includes peptic ulcer, gastritis, esophagitis, and Mallory-Weiss tear.
Risks/benefits of EGD discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
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Melena -
Differential diagnosis includes gastric ulcer and esophageal varices.
Risks/benefits of EGD with possible variceal banding discussed with patient[] including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. [] Octreotide drip.
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Iron deficiency anemia - Differential diagnosis includes gastric ulcer, gastritis, esophagitis,[] and less likely colon cancer. Risks/benefits of EGD discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
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