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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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... gastroenterology #EGD #clinical
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
of Small Bowel Bleeding ... Plummer-Vinson syndrome ... Ehlers-Danlos syndrome ... , Inherited syndromes ... #SmallBowel #Bleeding
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... active #Gastric #Bleeding ... gastroenterology #clinical
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Boerhaave Syndrome ... #Boerhaave #Syndrome ... #clinical #endoscopy ... #video #EGD #esophagus
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
evaluation of the clinical ... /or suspicious clinical ... the remainder, a clinical ... presence of metabolic syndrome ... elevation and clinical
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... Perforation (Boerhaave Syndrome ... #Boerhaave #Syndrome ... #clinical #endoscopy ... #video #EGD #esophagus
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary Syndrome ... Hepatopulmonary Syndrome ... Hepatopulmonary #Syndrome ... shunting #hepatology #clinical
Bottlecap enlodged in the Esophagus on xray and egd
Opening a beer with your teeth ensures the
enlodged in the Esophagus ... #Bottlecap #Esophagus ... #clinical #chestxray
Post sphincterotomy bleeding- rare visible bleeding vessel.

Andy Tau, MD @DrBloodandGuts

#sphincterotomy #bleeding #vessel #clinical #egd #endoscopy #video
sphincterotomy bleeding ... - rare visible bleeding ... sphincterotomy #bleeding ... #vessel #clinical
Gastrostomy (PEG) Tube Complications and Management
Buried bumper syndrome
Peristomal Leakage
Colonic Perforation
Bleeding
Tube dislodgement
Tube malfunction
Nonhealing stoma

#Gastrostomy #PEGTube #Complications #Management
Buried bumper syndrome ... Colonic Perforation Bleeding