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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gastroenterology diagnosis egd management gastric grading hepatology abnormal anemia bleeding checklist clinical colon deficiency differential dyspepsia enzymes eoe eosinophilic erefs
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... Bidirectional endoscopy ... biopsies Capsule endoscopy ... bidirectional endoscopy ... Gastrointestinal #Evaluation
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... structurally normal endoscopy ... Early satiety #Functional ... Diagnosis #Management #algorithm
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Forrest Classification ... risks are without endoscopic ... Re-bleeding #Forrest #Classification
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... Score #diagnosis #classification
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic
Endoscopic Ultrasound Lesion - Evaluation Checklist 1. Endoscopic appearance of covered mucosa (if SEL) 2. Location (with layer
Endoscopic Ultrasound ... Lesion - Evaluation ... Endoscopic appearance ... EUS #checklist #Endoscopic ... Ultrasound #Lesion #Evaluation
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... LFTs #Abnormal #Algorithm
Treatment of Pouchitis • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin) • Immune-mediated - Budesonide, Mesalamines;
• Structural/functional ... obstruction-fecal stasis - Endoscopic
Variceal Screening Algorithm in Cirrhosis No varices -> repeat 2-3 years Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... Variceal #Screening #Algorithm ... varices #hepatology #endoscopy
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