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 endoscopy management algorithm colonoscopy esophageal hepatology bleeding syndrome video barretts gastric liver parasite acute ascariasis ascaris boerhaave
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy Dr. Joaquín Berrueta Mezzera @DrJBerrueta #Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Esophageal Necrosis (Black ... Esophagus) on Endoscopy ... Esophageal #Necrosis #Black ... #Esophagus #Endoscopy
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 Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Esophageal #Necrosis #black ... #esophagus #diagnosis
Management of Jackhammer Esophagus or Esophageal Spasm Step 1: Assess the severity of the motility disturbance Step 2:
of Jackhammer Esophagus ... #Jackhammer #Esophagus
Barrett's Esophagus (BE) Documentation 1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... BE - distal esophagus ... #Barretts #Esophagus
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus 1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus
Chicago Classification of Esophageal Motility Disorders Achalasia EGJ Outflow Obstruction Distal Esophageal Spasm Jackhammer Esophagus Absent Contractility Ineffective Motility Rapid Contraction #Chicago #Classification #Esophageal
Spasm Jackhammer Esophagus
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Endoscopy: Normal esophagus
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
baseline indicates lack
Trichuris dysentery syndrome on sigmoidoscopy (whipworms) An 8y child was referred for sigmoidoscopy from a pediatric unit.
send the patient back
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 Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Potential pitfalls: Lack
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