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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Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... endoscopy - EUS ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Prague Criteria ... Hiatus Hernia Is ... Junction #Prague #Criteria ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... w/ Prague C&M criteria ... distal esophagus is ... Documentation #EGD ... #diagnosis #gastroenterology
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Biliary Cirrhosis - Diagnosis ... Algorithm Symptoms ... after pregnancy Diagnose ... PBC if 2/3 criteria ... #Algorithm #hepatology
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Syndrome (HPS) Diagnosis ... Algorithm Bubble ... echo is the first ... Syndrome #HPS #Diagnosis ... #Algorithm #hepatology
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Bowel Syndrome (IBS ... Pathophysiology, Diagnosis ... and Management Algorithm ... Pregabalin #IBS ... #Management #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... of pathway and is ... metabolic syndrome criteria ... Areas of diagnostic ... LFTs #Abnormal #Algorithm
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
(GIM) • GIM is ... common trigger is ... Clinical decision algorithm ... Metaplasia #GIM #diagnosis
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... the diagnosis and ... Step 2: If TS is ... hemochromatosis #algorithm ... #diagnosis #management
Rome IV Criteria for the Irritable Bowel Syndrome.

#Diagnosis #PrimaryCare #IBS #IrritableBowelSyndrome #RomeIV #Criteria
Rome IV Criteria ... #Diagnosis #PrimaryCare ... #IBS #IrritableBowelSyndrome ... #RomeIV #Criteria