--- title: Upper GI Emergencies description: Presented by Vincent Mellnick, MD at Practical Radiology 2025. The upper gastrointestinal tract can be oft-overlooked site of disease in the emergency department patient, but is frequently be the site of pathology, including inflammation/infection, ischemia, obstruction, perforation, and hemorrhage. This talk will discuss common (and some uncommon) conditions causing these presentations in the esophagus, stomach, and duodenum, with emphasis on CT findings. image: https://cme.vrad.com/hubfs/CME_Header_1200x628%20(16)-1.png --- 1 min read # Upper GI Emergencies [![Picture of Vincent Mellnick, MD](https://cme.vrad.com/hubfs/Mellnick.png) Vincent Mellnick, MD ](https://cme.vrad.com/author/vincent-mellnick-md) : March 24, 2026 [Body](https://cme.vrad.com/tag/body) [ Back to CME Library](https://cme.vrad.com) ![Upper GI Emergencies](https://cme.vrad.com/hubfs/CME_Header_1200x628%20(16)-1.png) 0.5 *AMA PRA Category 1 Credit™* Cost: Free Expires: 12/31/2027 ### [![Take the Course](https://no-cache.hubspot.com/cta/default/3454598/ce879dca-935e-4927-a22a-3172e7c1d29f.png)](https://cta-redirect.hubspot.com/cta/redirect/3454598/ce879dca-935e-4927-a22a-3172e7c1d29f) ### Course Overview Presented by Vincent Mellnick, MD at Practical Radiology 2025. The upper gastrointestinal tract can be oft-overlooked site of disease in the emergency department patient, but is frequently be the site of pathology, including inflammation/infection, ischemia, obstruction, perforation, and hemorrhage. This talk will discuss common (and some uncommon) conditions causing these presentations in the esophagus, stomach, and duodenum, with emphasis on CT findings. ### Learning Objectives 1. Utilize CT, and as needed, fluoroscopy, to identify and characterize acute conditions of the esophagus, stomach, and duodenum 2. Create an appropriate differential diagnosis based on the clinical history, anatomic location and imaging findings for a case 3. Differentiate conditions which require urgent surgical consultation vs. conservative management     For New Users If you haven't accessed the vRad Radiology Education platform before, you will be prompted to complete a one-time registration process which allows you to access this course, and all other free CME courses vRad offers. ### Audience and Claiming Credit This course has been designed for radiologists. A certificate awarding credit will be issued to participants who have reviewed the entire presentation and correctly answered the post-test question. ### Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Minnesota Medical Association and vRad Radiology Education. The Minnesota Medical Association (MMA) is accredited by the ACCME to provide continuing medical education for physicians. The Minnesota Medical Association designated this online course review for a maximum of *0.5 **AMA PRA Category 1 Credit(s)**TM**. *Physicians should claim only the credit commensurate with the extent of their participation in the activity.   [![View Full CME Directory](https://no-cache.hubspot.com/cta/default/3454598/4beed700-8ca5-4ac4-9bb6-6f1b5af89694.png)](https://cta-redirect.hubspot.com/cta/redirect/3454598/4beed700-8ca5-4ac4-9bb6-6f1b5af89694)   Need Help? [education@vrad.com](mailto:education@vrad.com) ![CME logo (1)](https://cme.vrad.com/hs-fs/hubfs/CME%20logo%20(1).png?width=445&name=CME%20logo%20(1).png) Jointly provided by the Minnesota Medical Association and vRad Radiology Education - [Tweet](https://twitter.com/share) [ Back to CME Library](https://cme.vrad.com) [![Colonic Emergencies](https://cme.vrad.com/hubfs/CME_Header_1200x628-Jun-16-2026-02-45-35-7344-PM.png) ](https://cme.vrad.com/colonic-emergencies-mellnick) 1 min read #### [Colonic Emergencies](https://cme.vrad.com/colonic-emergencies-mellnick) [![Picture of Vincent Mellnick, MD](https://cme.vrad.com/hs-fs/hubfs/Mellnick.png?width=30&name=Mellnick.png) Vincent Mellnick, MD](https://cme.vrad.com/author/vincent-mellnick-md) : June 16, 2026 0.5 AMA PRA Category 1 Credit™ Cost: Free Expires: 12/31/2027 Course Overview Presented by Vincent... [Body](https://cme.vrad.com/tag/body) [Read More](https://cme.vrad.com/colonic-emergencies-mellnick) [![Gastrointestinal Emergency Case Presentations](https://cme.vrad.com/hubfs/CME_Header_1200x628-Dec-05-2023-12-49-41-3107-PM.png) ](https://cme.vrad.com/gastrointestinal-emergency-case-presentations) 1 min read #### [Gastrointestinal Emergency Case Presentations](https://cme.vrad.com/gastrointestinal-emergency-case-presentations) [![Picture of Benjamin W. Strong, MD](https://cme.vrad.com/hs-fs/hubfs/Imported_Blog_Media/Strong-Ben-03-19.png?width=30&name=Strong-Ben-03-19.png) Benjamin W. Strong, MD](https://cme.vrad.com/author/benjamin-w-strong-md) : December 5, 2023 0.25 AMA PRA Category 1 Credit™ Cost: Free Expires: 12/31/2026 Course Overview An... [General](https://cme.vrad.com/tag/general) [Body](https://cme.vrad.com/tag/body) [Read More](https://cme.vrad.com/gastrointestinal-emergency-case-presentations) [![CTA Extremity Pt. 2](https://cme.vrad.com/hubfs/cta%20extremity%20pt%202.png) ](https://cme.vrad.com/ctaextremity2) 1 min read #### [CTA Extremity Pt. 2](https://cme.vrad.com/ctaextremity2) [![Picture of Benjamin W. Strong, MD](https://cme.vrad.com/hs-fs/hubfs/Imported_Blog_Media/Strong-Ben-03-19.png?width=30&name=Strong-Ben-03-19.png) Benjamin W. Strong, MD](https://cme.vrad.com/author/benjamin-w-strong-md) : January 17, 2023 0.25 AMA PRA Category 1 Credit™ Cost: Free Expires: 12/31/2026 Course Overview Case... [Body](https://cme.vrad.com/tag/body) [Read More](https://cme.vrad.com/ctaextremity2) vRad (Virtual Radiologic) is a national radiology practice combining clinical excellence with cutting-edge technology development. 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