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 endoscopy bleeding eoe eosinophilic algorithm classification endoscopic esophageal gastric grading risks active acute antibiotic banding black corticosteroids cystic 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 ... Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... #Eosinophilic #Esophagitis ... classification #gastroenterology ... #EGD #grading
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
forceps biopsy (EGD ... - Resections (ESD ... Bleeding #Risks #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
EGD Nail Removal in the Duodenum 6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... 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
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 #Grading #gastroenterology ... #EGD #clinical
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
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... #Eosinophilic #Esophagitis ... Treatment #Algorithm #management ... #gastroenterology
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... GIM #diagnosis #management ... #gastroenterology
Pancreatic cystic lesions (PCLs) - classified into simple retention cysts, pseudocysts and cystic neoplasms -
histological and clinical ... lesions #PCLs #gastroenterology ... #diagnosis #management
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