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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Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... RodriguezParra_ #active ... #Upper #Endoscopy ... gastroenterology #clinical
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... /or suspicious clinical ... a diagnosis of NAFLD ... dehydrogenase; NAFLD ... LFTs #Abnormal #Algorithm
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
NAFLD Diagnosis ... Algorithm Two-step ... 1st step: - Clinical ... systems- FIB4, NAFLD ... #Diagnosis #Algorithm
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... but anticipate active ... in the mid or upper ... - If with an actively ... patient is not actively
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)
Cirrhosis & GI bleeding ... solid lesions (upper ... the setting of active