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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Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
, Skin screen, Colonoscopy ... check #IBD #inflammatory ... #bowel #disease
Inflammatory Bowel Disease (IBD) Diet Recommendations:
Crohn's Disease:
 • Increase: Vegetables, Fruits
 • Decrease: Saturated and trans
Inflammatory Bowel ... Titanium dioxide #Inflammatory ... #Bowel #Disease
Colonoscopy Tips and Tricks 

By Dr. Steven Bollipo @stevenbollipo and Dr. Enrik Aguila @enrrikke

#Colonoscopy #Tips #Tricks
Colonoscopy Tips ... @enrrikke #Colonoscopy
Ascaris Lumbricoides (Roundworm) on Colonoscopy

#Ascaris #Lumbricoides #Ascariasis #Roundworm #Colonoscopy #clinical #gastroenterology #parasite
(Roundworm) on Colonoscopy ... Ascariasis #Roundworm #Colonoscopy
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Causes of Small Bowel ... age 40 years: Inflammatory ... Bowel Disease, ... purpura, Small bowel
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Colonoscopy Followup ... years: Normal colonoscopy ... serrated polyps #Colonoscopy
Normal Colonic Diameters
Normal bowel caliber can be remembered using the 3-6-9 rule:
 - Small bowel: <3
Diameters Normal bowel ... rule: - Small bowel ... 3 cm - Large bowel
Algorithm for the management of colorectal lesions
Pedunculated
Non-Pedunculated
 - Non-invasive
 - Suspected submucosal invasion

- Gastroenterology Review @GIreview

#Colorectal
algorithm #lesions #colonoscopy
Serrated Polyps
Hyperplastic polyps (HPs):
 • Prevalence: 20-30%
 • Size: Usually small or diminutive (s 5mm)
 •
Polyps #comparison #colonoscopy
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
serology first Small bowel ... identification of small bowel