Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... should receive endoscopic ... Gastroenterology #UpperGI ... Stigmata #EGD #Endoscopy
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Acute bleeding in ... active #Gastric #Bleeding ... #Upper #Endoscopy
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Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... Gastroenterology #UpperGI ... Stigmata #EGD #Endoscopy
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... mediastinal cysts - Biliary ... solid lesions (upper ... or lower GI tract
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... presenting with acute lower ... gastrointestinal bleeding ... outpatient; UGI, upper ... #lower #GIBleeding
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... Pruritus, Right upper ... #PBC #Primary #Biliary ... Cirrhosis #Diagnosis #Algorithm
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... in the mid or upper ... banded if the lower ... gastroenterology #fellows #endoscopy