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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6 results
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Endoscopy Boerhaave ... DrBloodandGuts #Boerhaave ... #Syndrome #clinical ... endoscopy #video #EGD
Pancreatic cystic lesions (PCLs)
 - classified into simple retention cysts, pseudocysts and cystic neoplasms 
 -
Pancreatic cystic ... histological and clinical ... @KM_Pawlak #Pancreatic ... gastroenterology #diagnosis #management ... #differential
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... Esophageal Perforation (Boerhaave ... #Boerhaave #Syndrome ... #clinical #endoscopy ... #video #EGD #esophagus
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
elastase Abnormal pancreatic ... pancreatitis, Pancreatic ... resection, Pancreatic ... malformation (eg ... elastase #low #differential
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- EUS-FNA of pancreatic ... Prophylaxis #Endoscopy #EGD ... Gastroenterology #Management