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 differential algorithm causes egd hepatology management criteria disorders endoscopy esophageal barretts boerhaave deficiency disease eoe eosinophilic esophagitis hepatopulmonary ibs
Management of Jackhammer Esophagus or Esophageal Spasm Step 1: Assess the severity of the motility disturbance Step 2:
of Jackhammer Esophagus ... Consider further diagnostics ... #Jackhammer #Esophagus
Barrett's Esophagus (BE) Documentation 1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... (histological diagnosis ... BE - distal esophagus ... #Barretts #Esophagus ... Documentation #EGD #diagnosis
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
- Differential Diagnosis ... Plummer-Vinson syndrome ... Ehlers-Danlos syndrome ... , Inherited syndromes ... #Differential #Diagnosis
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 ... #diagnosis #endoscopy
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... Necrosis #black #esophagus ... #diagnosis #management
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... Pathophysiology, Diagnosis ... functional somatic syndromes ... Irritable #Bowel #Syndrome ... Pathophysiology #Diagnosis
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome ... #differential #diagnosis
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Endoscopy: Normal esophagus ... EoE #Response #diagnosis
Carcinoid Syndrome - Pathophysiology, Signs and Symptoms Symptoms: Flushing, diarrhea, palpitations, bronchospasm Complications: Carcinoid heart, mesenteric fibrosis, pellagra,
Carcinoid Syndrome ... #Carcinoid #Syndrome ... Signs #Symptoms #Diagnosis
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... (HPS) Diagnosis ... Hepatopulmonary #Syndrome ... #HPS #Diagnosis
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