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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8 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
Boerhaave Syndrome on Endoscopy 

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

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... on Endoscopy - ... #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,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Differential: Melanosis ... Melanoma, Coal dust, Caustic ... black #esophagus #diagnosis
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... Endoscopic surveillance ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... or mediastinal cysts ... #Prophylaxis #Endoscopy ... #EGD #Indications ... Gastroenterology #Management
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
tumours including cystic ... malformation (eg ... , for example, cystic ... elastase #low #differential ... #diagnosis #causes