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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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Classification for Peptic Ulcer ... - Flat Spot in ulcer ... III - Clean Base Ulcer ... Classification #Peptic #Ulcer ... gastroenterology #EGD
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... Gastroenterology #UpperGI #Rebleeding ... #Gastric #Ulcers ... Prevalence #Stigmata #EGD
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... ulcers, including ... risks of further bleeding ... #Gastric #Ulcers ... Prevalence #Stigmata #EGD
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... EGD and the Banding ... Deep ulcers form ... rate of post-band ulcers ... fellows #endoscopy #egd
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... definitive outcomes for users ... include extrahepatic biliary ... LFTs #Abnormal #Algorithm
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... #Management #algorithm ... #lower #GIBleeding
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... mediastinal cysts - Biliary ... cardiac devices (ICD/pacers ... GI tract) - Biliary ... Prophylaxis #Endoscopy #EGD