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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Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... RodriguezParra_ #active ... #Gastric #Bleeding ... Endoscopy #EGD #gastroenterology ... #clinical
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... Metaplasia (GIM ... pylori) gastritis Clinical ... algorithm for GIM ... diagnosis #management #gastroenterology
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... #Gastric #Ulcers
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Checklist for Adult IBD ... Diseases: Influenza (inactive ... , Skin screen, Colonoscopy ... Depression check #IBD ... Checklist #hcm #gastroenterology
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... visible vessel; E, active ... bleeding. ... #Diagnosis #Gastroenterology ... #Gastric #Ulcers
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... the setting of active ... #Indications #Gastroenterology
Colonic Kaposi Sarcoma in advanced HIV/AIDS patient with lower GIB. Lifted with epinephrine for pox bleeding.

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patient with lower GIB ... epinephrine for pox bleeding ... Sarcoma #colonic #colonoscopy ... #clinical #photo