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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11 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... endoscopy with ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... after pregnancy Diagnose ... #PBC #Primary #Biliary ... #Cirrhosis #Diagnosis
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... congenital - Primary biliary ... cirrhosis - α1 ... 14 percent) #Diagnosis ... Differential #Hepatology #Cirrhosis
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Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... bidirectional endoscopy ... change medical management ... Evaluation #workup #diagnosis
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... and Management ... months before diagnosis ... structurally normal endoscopy ... #Management #algorithm
Primary Biliary Cirrhosis (PBC) - Diagnosis Algorithm

#Primary #Biliary #Cirrhosis #PBC #Diagnosis #Algorithm #hepatology
Primary Biliary ... Cirrhosis (PBC) ... - Diagnosis Algorithm ... #Primary #Biliary ... #Cirrhosis #PBC
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
algorithm for GIM management ... Endoscopic surveillance ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... site - OTHERS: biliary ... #Selective #Biliary ... gastroenterology #management ... #diagnosis
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... or PEG-J) - Cirrhosis ... mediastinal cysts - Biliary ... GI tract) - Biliary ... Gastroenterology #Management
Primary Biliary Cirrhosis - Management
A. Initiate therapy 
 - Initiate 1st line therapy with UDCA (13-15
Primary Biliary ... Cirrhosis - Management ... Non-pharmacological management ... #PBC #Primary #Biliary ... #Cirrhosis #Management