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 ... Upper #Endoscopy #EGD ... #gastroenterology ... #clinical
Ascaris Lumbricoides (Roundworm) on Colonoscopy

#Ascaris #Lumbricoides #Ascariasis #Roundworm #Colonoscopy #clinical #gastroenterology #parasite
(Roundworm) on Colonoscopy ... Ascariasis #Roundworm #Colonoscopy ... #clinical #gastroenterology
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Checklist for Adult IBD ... , Skin screen, Colonoscopy ... Depression check #IBD ... Checklist #hcm #gastroenterology
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
#Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... Prevalence #Stigmata #EGD
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... replacement of normal gastric ... response to chronic gastric ... pylori) gastritis Clinical ... 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 ... hold from sharp end ... Removal #Endoscopy #egd ... esophagogastroduodenoscopy #gastroenterology ... #retrieval #clinical
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
100% Re-bleeding Ib ... Risks #Grading #gastroenterology ... #EGD #clinical
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
air gently till gastric ... Documentation #EGD ... #diagnosis #gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
: - tops of gastric ... diagnosis #endoscopy #EGD ... #gastroenterology
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
#Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... Prevalence #Stigmata #EGD