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
guideline Low ... forceps biopsy (EGD ... PEG placement (low ... - Resections (ESD ... Gastroenterology #EGD
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... • be gentle, slow ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd
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Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Microscopic Colitis - Management Algorithm
Induction: Budesonide 9 mg daily, 6 to 8 weeks
Maintenance: Budesonide low-dose (3-6
Colitis - Management Algorithm ... Maintenance: Budesonide low-dose ... Colitis #Management #Algorithm
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Cirrhosis - Management Algorithm ... transplantable HCC, End-stage ... Cirrhosis #Management #Algorithm
Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... VitaminB12 #deficiency #low ... #cobalamin #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
oncotic pressure Low ... Interpretation #Differential
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
liver disease algorithm ... , signifying a low ... Disease #NAFLD #algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... LFTs #Abnormal #Algorithm ... Liver #Enzymes #Differential