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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Bleeding Dieulafoy's Lesion within the duodenum - Resolved with Clip

Carlos Zavaleta MD FACS @CMZavaletaMD

#Dieulafoys #Lesion #GIBleed
Lesion within the duodenum ... Lesion #GIBleed #duodenum ... #Clipping #EGD ... #Endoscopy #Clinical
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... in the Duodenum ... beveled so kept slipping ... Nail #Removal #Endoscopy ... gastroenterology #retrieval #clinical
Pancreatic cystic lesions (PCLs)
 - classified into simple retention cysts, pseudocysts and cystic neoplasms 
 -
Pancreatic cystic ... simple retention cysts ... histological and clinical ... gastroenterology #diagnosis #management ... #differential
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 ... Melanoma, Coal dust, Caustic ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management
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