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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Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Step 4: Medical Management ... #Jackhammer #Esophagus ... Esophageal #Spasm #Management
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... Diagnosis and Management ... functional somatic syndromes ... Irritable #Bowel #Syndrome ... Pathophysiology #Diagnosis #Management
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... • Hepatorenal syndrome ... #Indications #Management
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
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... GIM #diagnosis #management
Barrett’s Esophagus Surveillance Algorithm - British Society of Gastroenterology

#Barretts #Esophagus #Surveillance #Algorithm #management #gastroenterology #guidelines
Barrett’s Esophagus ... #Barretts #Esophagus ... Surveillance #Algorithm #management
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
Pancreatic cystic lesions (PCLs)
 - classified into simple retention cysts, pseudocysts and cystic neoplasms 
 -
histological and clinical ... gastroenterology #diagnosis #management