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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11 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer Bleeding ... Bleed - 50% Re-bleeding ... Vessel - 40-50% Re-bleeding ... #Forrest #Classification
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... #Management #algorithm ... #lower #GIBleeding
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... Gastroenterology #UpperGI #Rebleeding
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Causes of Small ... Bowel Bleeding - ... Diagnosis Common Causes ... NSAID ulcers Rare Causes ... #SmallBowel #Bleeding
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Endoscopy #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
of Bleeding Esophageal ... anticipate active bleeding ... - If without bleeding ... is not actively bleeding ... @enrrikke #Bleeding
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... SBP: Medical Management ... acceptable Upper Gl bleeding ... SBP #Diagnosis #Management
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... out additional causes ... If other causes ... hemochromatosis #algorithm ... #diagnosis #management
Gastrostomy (PEG) Tube Complications and Management
Buried bumper syndrome
Peristomal Leakage
Colonic Perforation
Bleeding
Tube dislodgement
Tube malfunction
Nonhealing stoma

#Gastrostomy #PEGTube #Complications #Management
Complications and Management ... Colonic Perforation Bleeding ... Complications #Management
5 D's Mnemonic for Causes of Iron Deficiency Anemia (IDA)
Diet - lacking iron, vitamin C, too
D's Mnemonic for Causes ... Blood loss) - GI bleeding ... Deficiency #Anemia #Causes