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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12 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer ... #Forrest #Classification ... #Peptic #Ulcer ... #Grading #gastroenterology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Ascites Albumin Gradient ... liver sinusoid (hepatic ... the liver The hepatic ... Matherly @liverprof #Diagnosis ... Serum #Albumin #Gradient
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Syndrome (HPS) Diagnosis ... Algorithm Bubble ... the dx is an A-a gradient ... Syndrome #HPS #Diagnosis ... #Algorithm #hepatology
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 4 - Gl bleeding ... or Hepatic Encephalopathy ... Mortality #Timeline #diagnosis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... Presentation in septic ... acceptable Upper Gl bleeding ... Peritonitis #SBP #Diagnosis
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Pathophysiology, Diagnosis ... and Management Algorithm ... , Abdominal or pelvic ... Pathophysiology #Diagnosis ... #Management #Algorithm
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 ... #Diagnosis #Gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
ReFerence #Score #diagnosis ... #classification ... gastroenterology #EGD #grading
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... Algorithm DILI ... liver disease, Hepatic ... Liver #Injury #Diagnosis ... #Algorithm #hepatology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... the diagnosis and ... hemochromatosis; HIC, hepatic ... hemochromatosis #algorithm ... #diagnosis #management