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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11 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Bleed - 60-100% Re-bleeding ... IIa - Non-Bleeding ... #Forrest #Classification ... Peptic #Ulcer #Bleeding
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... #Management #algorithm ... #lower #GIBleeding
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 ... Gastroenterology #UpperGI #Rebleeding
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Endoscopy #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
of Bleeding Esophageal ... anticipate active bleeding ... - If without bleeding ... is not actively bleeding ... @enrrikke #Bleeding
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... SBP: Medical Management ... acceptable Upper Gl bleeding ... SBP #Diagnosis #Management
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Eosinophilic Esophagitis (EOE ... ) Management Algorithm ... #EoE #Refractory ... #Esophagitis #Management ... #Algorithm #gastroenterology
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis (EoE ... ) - Treatment Algorithm ... testing directed #EoE ... Esophagitis #Treatment #Algorithm ... #management #gastroenterology
Eosinophilic Gastroenteritis Management Algorithm
 - PPI x 8 weeks
 - Dietary therapy with Empiric Elimination or
Gastroenteritis Management ... Algorithm - PPI ... x 4-8 wks #EoE ... Gastroenteritis #Management ... #Algorithm #Treatment
Gastrostomy (PEG) Tube Complications and Management
Buried bumper syndrome
Peristomal Leakage
Colonic Perforation
Bleeding
Tube dislodgement
Tube malfunction
Nonhealing stoma

#Gastrostomy #PEGTube #Complications #Management
Complications and Management ... Colonic Perforation Bleeding ... Complications #Management