Sunday, January 3, 2021

Mnemonic for Caustic Esophageal injury

Hi everyone! 

Here is a short mnemonic! 


ACidic Substance = Coagulation Necrosis ( Protein denaturation) - 

results in Eschar - prevents further acid penetration & thereby severe injury.


ALakaline Substance = Liquefactive Necrosis (Cell membrane dissolution) - deeper penetration results in more severe injuries. 


1st step = Serial CXR & abdominal x-ray to identify perforation


If no perforation or respiratory distress then Upper GI endoscopy within 24 hours to assess severity for esophageal damage. 


Thank you! 

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