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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Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... EGD and Biopsy ... KBrag_MD #Acute #Esophageal ... black #esophagus #diagnosis
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Consider further diagnostics ... Jackhammer #Esophagus #Esophageal ... #Spasm #Management
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
Gastric Polyp Diagnosis and Management Algorithm

#Gastric #Polyp #Diagnosis #Management #Algorithm #gastroenterology
Gastric Polyp Diagnosis ... and Management ... Algorithm #Gastric ... #Polyp #Diagnosis ... #Management #Algorithm
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
endoscopically suspected esophageal ... (histological diagnosis ... Documentation #EGD ... #diagnosis #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Ill achalasia, EGJ ... obstruction, Distal esophageal ... peristalsis, GERD #Esophageal ... gastroenterology #diagnosis
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Endoscopically Suspected Esophageal ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD
Approach to the Diagnosis and Treatment of Spontaneous Bacterial Peritonitis. This algorithm provides a general approach
Approach to the Diagnosis ... This algorithm provides ... and management ... #Diagnosis #Management ... Hepatology #SBP #Algorithm
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... transplantable HCC, End-stage ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
An algorithm of diagnostic and therapeutic recommendations for patients with microscopic colitis.

#Microscopic #Colitis #Lymphocytic #Collagenous #Algorithm
An algorithm of ... diagnostic and therapeutic ... #Collagenous #Algorithm ... #Management #Treatment