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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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer ... #Forrest #Classification ... #Grading #gastroenterology ... #EGD #clinical
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... ulcers, including ... Gastroenterology #UpperGI ... #Ulcers #Prevalence ... #Stigmata #EGD
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... outpatient; UGI, upper ... #lower #GIBleeding
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
in the mid or upper ... banded if the lower ... EGD and the Banding ... and jiggle the tip ... Deep ulcers form
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... cardiac devices (ICD/pacers ... solid lesions (upper ... or lower GI tract ... Prophylaxis #Endoscopy #EGD