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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endoscopy gastroenterology hepatology diagnosis management clinical variceal gastric screening varices biliary pbc prevalence primary rebleeding risks stigmata ulcers uppergi active
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding ... gastroenterology #EGD
Screening and surveillance of varices in patients with cirrhosis. - No for screening need if platelets
patients with cirrhosis ... Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... - Resections (ESD ... Endoscopy #Endoscopic #Bleeding ... 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 ... Prevalence #Stigmata #EGD
Brisk Gastric Bleeding on Upper Endoscopy 87 year old female. Acute bleeding in stomach. Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... active #Gastric #Bleeding ... Upper #Endoscopy #EGD
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 Cirrhosis Timeline and Mortality Rate Compensated Cirrhosis Stage 1 - No varices (Annual Mortality Rate 1%) Stage 2 -
Cirrhosis Timeline ... Rate Compensated Cirrhosis ... Decompensated Cirrhosis ... Stage 4 - Gl bleeding ... Rate 57%) #Cirrhosis
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
Carcinoma (HCC) in Cirrhosis ... - Management Algorithm ... transplantable HCC, End-stage ... Carcinoma #HCC #Cirrhosis ... #Management #Algorithm
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary Cirrhosis ... - Diagnosis Algorithm ... Primary #Biliary #Cirrhosis ... #Diagnosis #Algorithm
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 #Rebleeding ... Prevalence #Stigmata #EGD
Endoscopy - Management of Bleeding Esophageal Varices What to Band? - Always find the varix that
Management of Bleeding ... anticipate active bleeding ... - If without bleeding ... EGD and the Banding ... fellows #endoscopy #egd
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