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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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... should receive endoscopic ... #Gastric #Ulcers ... Stigmata #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Classification for Peptic Ulcer ... risks are without endoscopic ... - Flat Spot in ulcer ... III - Clean Base Ulcer ... gastroenterology #EGD #clinical
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... RodriguezParra_ #active ... #Upper #Endoscopy ... gastroenterology #clinical
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
ulcers, including ... visible vessel; E, active ... bleeding. ... #Gastric #Ulcers ... Stigmata #EGD #Endoscopy
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... but anticipate active ... Deep ulcers form ... rate of post-band ulcers ... gastroenterology #fellows #endoscopy
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... decision algorithm ... GIM management Endoscopic
Post sphincterotomy bleeding- rare visible bleeding vessel.

Andy Tau, MD @DrBloodandGuts

#sphincterotomy #bleeding #vessel #clinical #egd #endoscopy #video
sphincterotomy bleeding ... - rare visible bleeding ... sphincterotomy #bleeding ... #vessel #clinical ... #egd #endoscopy
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... cardiac devices (ICD/pacers ... the setting of active ... #Prophylaxis #Endoscopy
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome on Endoscopy ... Boerhaave Syndrome) in active ... Boerhaave #Syndrome #clinical ... #endoscopy #video
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... evaluation of the clinical ... /or suspicious clinical ... definitive outcomes for users ... LFTs #Abnormal #Algorithm