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 hepatology algorithm management differential endoscopy causes cirrhosis clinical gastric liver esophagus esophageal bleeding classification acute criteria eus pathophysiology table
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... - Resections (ESD ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
EGD Nail Removal in the Duodenum 6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd
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 Upper Endoscopy EGD Visualization Checklist #Upper #Endoscopy #EGD #Visualization #Checklist #gastroenterology #esophagogastroduodenoscopy
Upper Endoscopy EGD ... Upper #Endoscopy #EGD
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
- Differential Diagnosis ... Plummer-Vinson syndrome ... Ehlers-Danlos syndrome ... , Inherited syndromes ... #Differential #Diagnosis
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... Pathophysiology, Diagnosis ... functional somatic syndromes ... Irritable #Bowel #Syndrome ... Pathophysiology #Diagnosis
Screening and surveillance of varices in patients with cirrhosis. - No for screening need if platelets
Surveillance #Hepatology #EGD
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... black #esophagus #diagnosis
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome ... #differential #diagnosis
Carcinoid Syndrome - Pathophysiology, Signs and Symptoms Symptoms: Flushing, diarrhea, palpitations, bronchospasm Complications: Carcinoid heart, mesenteric fibrosis, pellagra,
Carcinoid Syndrome ... #Carcinoid #Syndrome ... Signs #Symptoms #Diagnosis
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... (HPS) Diagnosis ... Hepatopulmonary #Syndrome ... #HPS #Diagnosis
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