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 ... antral mucosa by intestinal ... pylori) gastritis Clinical ... #Intestinal #Metaplasia ... 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
Ulcerative Colitis - Surgical Options
 • Proctocolectomy - Ileostomy: ileum is attached to an external bag
Proctocolectomy - Small intestine ... patientinfo #surgery #gastroenterology ... #IBD
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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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)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... #Indications #Gastroenterology