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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diagnosis bleeding esophageal gastric risks active acute antibiotic banding black causes classification elastase endoscopic esophagogastroduodenoscopy esophagus fecal fellows foreignbody forrest
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
forceps biopsy (EGD ... - Resections (ESD ... #Risks #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
Pancreatic cystic lesions (PCLs) - classified into simple retention cysts, pseudocysts and cystic neoplasms -
Pancreatic cystic ... histological and clinical ... lesions #PCLs #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 ... #gastroenterology
EGD Nail Removal in the Duodenum 6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy ... #gastroenterology ... #retrieval #clinical
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 Brisk Gastric Bleeding on Upper Endoscopy 87 year old female. Acute bleeding in stomach. Dieulafoy’s Lesion
Bleeding on Upper Endoscopy ... Bleeding #Upper #Endoscopy ... #EGD #gastroenterology ... #clinical
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 Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
risks are without endoscopic ... Risks #Grading #gastroenterology ... #EGD #clinical
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices What to Band? - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... #gastroenterology ... #fellows #endoscopy ... #egd #banding
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... or mediastinal cysts ... #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 #gastroenterology
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