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 - ... should receive endoscopic ... Gastroenterology #UpperGI ... #Ulcers #Prevalence ... Stigmata #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Classification for Peptic Ulcer ... risks are without endoscopic ... - Flat Spot in ulcer ... III - Clean Base Ulcer ... Classification #Peptic #Ulcer
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... ulcers, including ... Gastroenterology #UpperGI ... #Ulcers #Prevalence ... 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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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 ... in the mid or upper ... Deep ulcers form ... rate of post-band ulcers ... gastroenterology #fellows #endoscopy
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... cardiac devices (ICD/pacers ... solid lesions (upper ... GI tract) - Biliary
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 ... outpatient; UGI, upper ... #Management #algorithm ... #lower #GIBleeding