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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Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
surveillance of varices ... -2/fulltext #varices ... #Variceal #Screening ... #Surveillance #Hepatology ... #EGD #PrimaryCare
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 1 - No varices ... (Annual Mortality ... 1%) Stage 2 - Varices ... #Timeline #diagnosis ... #hepatology
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Cirrhosis No varices ... years Small varices ... Screening #Algorithm #EGD ... #varices #hepatology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... Polypectomy - Variceal ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
MELD Score and 90 day Mortality - Model for End-stage Liver Disease Score

#Diagnosis #Hepatology #MELD #Score
Score and 90 day Mortality ... - Model for End-stage ... Disease Score #Diagnosis ... #Hepatology #MELD ... #Score #Mortality
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Obstructive Physiology: EGJ ... Ill achalasia, EGJ ... #Esophageal #Motility ... gastroenterology #diagnosis