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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Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... presenting with acute lower ... gastrointestinal bleeding ... interventional radiology; OGD ... #lower #GIBleeding
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... - If without bleeding ... banded if the lower ... EGD and the Banding ... fellows #endoscopy #egd
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... #Algorithm #Hepatology ... Liver #Enzymes #Differential
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... lesions (upper or lower ... Prophylaxis #Endoscopy #EGD
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
fecal elastase Abnormal ... malformation (eg ... Shwachman-Diamond syndrome Normal ... elastase #low #differential