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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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... #Gastric #Ulcers ... Prevalence #Stigmata #EGD
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... RodriguezParra_ #active #Gastric ... #Bleeding #Upper ... #Endoscopy #EGD
Gastric Epithelial Polyps - Evaluation and Management 
Hyperplastic Polyps
Fundic gland polyps (FGP)
Gastric Adenomas
Gastric Neuroendocrine Tumours (NET)
Hamartomatous
Gastric Epithelial ... Polyps - Evaluation ... polyps (FGP) Gastric ... Adenomas Gastric ... Epithelial #Polyps #diagnosis
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... forceps biopsy (EGD ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... #Gastric #Ulcers ... Prevalence #Stigmata #EGD
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Cirrhosis Timeline ... Rate Compensated Cirrhosis ... Decompensated Cirrhosis ... Stage 4 - Gl bleeding ... Mortality #Timeline #diagnosis
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Gastrointestinal Evaluation ... patients with anemia, diagnose ... perform routine gastric ... Gastrointestinal #Evaluation ... #workup #diagnosis
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... air gently till gastric ... Documentation #EGD ... #diagnosis #gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
: - tops of gastric ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... normal, further evaluation ... Patients with cirrhosis ... C282Y homozygote, evaluation ... hemochromatosis #algorithm #diagnosis