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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gastroenterology diagnosis endoscopy hepatology esophageal risks acute antibiotic ascites bacterial banding carcinoma cirrhosis clinical endoscopic esophagus fellows forrest gastric gibleeding
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer Bleeding ... IIa - Non-Bleeding ... #Forrest #Classification ... gastroenterology #EGD
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... Endoscopy #Endoscopic #Bleeding ... Gastroenterology #EGD ... HighRisk #Diagnosis #Management
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Klebsiella, pneumoniae) Management ... Esophageal #Necrosis #black ... esophagus #diagnosis #management
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; A, clean
Classification of ... the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... Prevalence #Stigmata #EGD
Endoscopy - Management of Bleeding Esophageal Varices What to Band? - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... adequately, pull back ... #Tips #Tricks #management ... fellows #endoscopy #egd
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... #Management #algorithm ... #lower #GIBleeding
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... transplantable HCC, End-stage ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... SBP: Medical Management ... baseline indicates lack ... acceptable Upper Gl bleeding ... SBP #Diagnosis #Management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... Prophylaxis #Endoscopy #EGD ... Gastroenterology #Management
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented Diuretic Resistant:
Diuretic Resistant: Lack ... mobilization Lack ... Ascites #diagnosis #management ... #algorithm #treatment
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