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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Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... RodriguezParra_ #active ... #Gastric #Bleeding ... Upper #Endoscopy #EGD
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... risks of further bleeding ... visible vessel; E, active ... bleeding. ... Prevalence #Stigmata #EGD
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
but anticipate active ... EGD and the Banding ... - If with an actively ... patient is not actively ... fellows #endoscopy #egd
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... presenting with acute ... gastrointestinal bleeding ... interventional radiology; OGD ... #Management #algorithm
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... for alternative causes ... dechallenge • Acute ... Injury #Diagnosis #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... the setting of active ... Prophylaxis #Endoscopy #EGD
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... Pancreatic atrophy, Acute ... malformation (eg ... pancreas), Genetic causes ... differential #diagnosis #causes