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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management gastric hepatology endoscopic esophagus prevalence rebleeding stigmata ulcers uppergi acute barretts black bleeding classification criteria disease dyspepsia eoe eosinophilic
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... #Risks #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding. The stigmata of
should receive endoscopic ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus 1) Ensure Hiatus Hernia Is Recognised By
Measure Depth of Endoscope ... Measure Depth of Endoscope ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD ... #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
for Endoscopy ( ... or PEG-J) - Cirrhosis ... #Prophylaxis #Endoscopy ... #EGD #Indications ... #Gastroenterology
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Surgery consults +/- antibiotics ... black #esophagus #diagnosis ... #management #gastroenterology
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... months before diagnosis ... structurally normal endoscopy ... #Management #algorithm ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... ReFerence #Score #diagnosis ... classification #gastroenterology ... #EGD #grading
Variceal Screening Algorithm in Cirrhosis No varices -> repeat 2-3 years Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... in Cirrhosis No ... Variceal #Screening #Algorithm ... #EGD #varices # ... hepatology #endoscopy
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm Low Suspicion: ≤ 1 feature of
Liver Disease (NAFLD ... ) - Diagnosis Algorithm ... family history of cirrhosis ... Liver #Disease #NAFLD ... #Diagnosis #Algorithm
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