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

Carlos Zavaleta MD FACS @CMZavaletaMD

#Dieulafoys #Lesion #GIBleed
Lesion within the duodenum ... Dieulafoys #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 ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy ... 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
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
risks are without endoscopic ... 1a - Spurting Bleed ... Re-bleeding Ib - Oozing Bleed ... gastroenterology #EGD ... #clinical
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