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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diagnosis gastroenterology hepatology management causes egd endoscopy algorithm clinical cirrhosis liver pathophysiology treatment acute anemia deficiency esophageal gastric pancreatic table
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... guideline Low ... PEG placement (low ... Endoscopy #Endoscopic #Bleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding. The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... Gastroenterology #UpperGI #Rebleeding
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
of Small Bowel Bleeding ... - Differential ... #SmallBowel #Bleeding ... #Differential #
Brisk Gastric Bleeding on Upper Endoscopy 87 year old female. Acute bleeding in stomach. Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... active #Gastric #Bleeding
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 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
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
acceptable Upper Gl bleeding ... considered if: Low
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
oncotic pressure Low ... Interpretation #Differential
Portal Hypertension Differential #Diagnosis #Hepatology #Differential #PortalHypertension #PortalHTN #Prehepatic #Posthepatic #Intrahepatic
Portal Hypertension Differential ... Diagnosis #Hepatology #Differential
Cirrhosis Timeline and Mortality Rate Compensated Cirrhosis Stage 1 - No varices (Annual Mortality Rate 1%) Stage 2 -
Stage 4 - Gl bleeding
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