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
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility Disorders ... Obstructive Physiology: EGJ ... Ill achalasia, EGJ ... Esophageal #Motility #Disorders ... gastroenterology #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
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... Step 2: If TS is ... <45% and SF is ... and hematologic disorders ... hemochromatosis #algorithm #diagnosis
Rome IV Criteria for the Irritable Bowel Syndrome.

#Diagnosis #PrimaryCare #IBS #IrritableBowelSyndrome #RomeIV #Criteria
Rome IV Criteria ... #Diagnosis #PrimaryCare ... #IBS #IrritableBowelSyndrome ... #RomeIV #Criteria
Rome III criteria emphasize importance of stool consistency to distinguish 3 subtypes of IBS - JAMA
Rome III criteria ... 3 subtypes of IBS ... JAMA_current #Diagnosis ... #PrimaryCare #IBS ... IrritableBowelSyndrome #RomeIII #Criteria
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD)
Irritable bowel syndrome
The criteria must be fulfilled
for diagnosing ... Abdominal Pain Disorders ... months; the pain is ... patient • The pain is ... AbdominalPain #Disorders
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
malformation (eg ... Rheumatological disorders ... #differential #diagnosis