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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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
Ascaris Lumbricoides (Roundworm) on Colonoscopy

#Ascaris #Lumbricoides #Ascariasis #Roundworm #Colonoscopy #clinical #gastroenterology #parasite
(Roundworm) on Colonoscopy ... Ascariasis #Roundworm #Colonoscopy ... #clinical #gastroenterology
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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
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... RodriguezParra_ #active #Gastric ... Endoscopy #EGD #gastroenterology ... #clinical
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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... #Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric
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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... upper or lower GI ... #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 ... Sarcoma #colonic #colonoscopy ... #clinical #photo
Axial (a) and sagittal (b) computed tomography images of the chest with multiple pulmonary nodules. (c)
#Clinical #IBD # ... ExtraintestinalManifestations #EIM