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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Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Intestinal Metaplasia (GIM ... ) • GIM is a precancerous ... pylori) gastritis Clinical ... decision algorithm ... Endoscopic surveillance
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 ... gastroenterology #EGD #clinical
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
MELD - Prior GI ... paracentesis - Prior endoscopy ... up - Liver US ... shock, sepsis, GIB
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
Slippage at UES ... take time at LES/UES ... Nail #Removal #Endoscopy ... gastroenterology #retrieval #clinical
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... - Cirrhosis & GI ... bleeding - EUS-FNA ... prosthesis - EUS-FNA ... #Prophylaxis #Endoscopy