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 diagnosis esophagus boerhaave esophageal gastric risks syndrome vessel active acute antibiotic banding black causes classification cystic elastase emr endoscopic
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
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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 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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 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
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 ... #gastroenterology
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
Pulsatile Intact Arterial Vessel on Endoscopy (EMR) An intact visible vessel (arterial) with overlying mucosa stripped cleanly
Arterial Vessel on Endoscopy ... Intact #Vessel #Endoscopy ... #EMR #artery #pulsatile ... #clinical #video ... #gastroenterology
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 Boerhaave Syndrome on Endoscopy Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome on Endoscopy ... Boerhaave #Syndrome #clinical ... #endoscopy #video ... #EGD #esophagus
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 Pancreatic cystic lesions (PCLs) - classified into simple retention cysts, pseudocysts and cystic neoplasms -
histological and clinical ... lesions #PCLs #gastroenterology ... #diagnosis #management ... #differential
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
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