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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9 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer ... #Peptic #Ulcer ... #Grading #gastroenterology ... #EGD #clinical
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding Risk ... forceps biopsy (EGD ... #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... #Eosinophilic #Esophagitis ... Score #diagnosis #classification ... #gastroenterology ... #EGD #grading
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management ... #gastroenterology
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... High risk of injury ... Removal #Endoscopy #egd ... esophagogastroduodenoscopy #gastroenterology ... #retrieval #clinical
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Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Diagnosis and Management ... Algorithm Risk ... chronic fatigue) Risk ... , Abdominal or pelvic ... #Algorithm #gastroenterology
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... (EOE) Management ... Elemental diet, Clinical ... #Management #Algorithm ... #gastroenterology
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... prevalence and risks ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
infection and high risk ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #Management