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
Endoscopic Bleeding ... Procedures - Diagnostic ... endoscopy - EUS ... Endoscopy #Endoscopic #Bleeding ... LowRisk #HighRisk #Diagnosis
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Ib - Oozing Bleed ... - 50% Re-bleeding ... IIa - Non-Bleeding ... gastroenterology #EGD
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... Prevalence #Stigmata #EGD
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
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... - If without bleeding ... the lower third is ... EGD and the Banding ... fellows #endoscopy #egd
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... Ciprofloxacin is ... acceptable Upper Gl bleeding ... Peritonitis #SBP #Diagnosis
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
of pathway and is ... metabolic syndrome criteria ... sought to support a diagnosis ... Areas of diagnostic ... #Differential #Diagnosis
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
gastrointestinal bleeding ... Shock index (SI) is ... interventional radiology; OGD ... algorithm #lower #GIBleeding