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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The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
Gastroenterology Consult Primer ... Guide to Calling ... History - Prior endoscopy ... Consultation #GIConsult #Primer ... #Calling #Referral
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
Liver Consult Primer ... - Guide to calling ... paracentesis - Prior endoscopy ... Consultation #GIConsult #Primer ... #Calling #Referral
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral
Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm ... Surgery #Referral #management
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Diagnosis and Management ... structurally normal endoscopy ... Pathophysiology #Diagnosis #Management ... #algorithm #gastroenterology
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... Esophagitis (EOE) Management ... Algorithm Initial ... #EoE #Refractory ... #Esophagitis #Management
Peptic Stricture Management Algorithm

Simple strictures (<2cm, focal, straight): PPI
Complex/refractory (>2cm, angulated, irregular): PPI → dilatation →
Peptic Stricture Management ... Algorithm Simple ... : PPI Complex/refractory ... Peptic #Stricture #Management ... #Algorithm #gastroenterology
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
Refractory Ascites ... kg over 4 days, Urinary ... encephalopathy #Refractory ... Ascites #diagnosis #management ... #algorithm #treatment