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 ... are without endoscopic ... IIa - Non-Bleeding ... #Forrest #Classification ... gastroenterology #EGD #clinical
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Acute bleeding in ... #Upper #Endoscopy ... gastroenterology #clinical
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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 ... Gastroenterology #UpperGI ... Stigmata #EGD #Endoscopy
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... decision algorithm ... for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... in the mid or upper ... #Tips #Tricks #management ... gastroenterology #fellows #endoscopy
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... outpatient; UGI, upper ... #Management #algorithm ... #lower #GIBleeding
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... solid lesions (upper ... #Prophylaxis #Endoscopy ... Gastroenterology #Management