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 egd management pathophysiology gastric hepatology prevalence rebleeding stigmata ulcers uppergi abnormal antibiotic bowel celiac cirrhosis classification clinical diet
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... Risk - Summary ... guideline Low Risk ... sphincterotomy High Risk ... #Endoscopic #Bleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding. The stigmata of
Prevalence and Risk ... value for the risk ... of further bleeding ... should receive endoscopic ... Stigmata #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Rebleeding risks ... are without endoscopic ... IIa - Non-Bleeding ... #Risks #Grading
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... and Management Risk ... structurally normal endoscopy ... Early satiety #Functional ... Diagnosis #Management #algorithm
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; A, clean
the stigmata of bleeding ... prevalence and risks ... of further bleeding ... vessel; E, active bleeding ... Stigmata #EGD #Endoscopy
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
and Management Algorithm ... Risk factors: ... Younger age, Other functional ... chronic fatigue) Risk ... Diagnosis #Management #Algorithm
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... LFTs #Abnormal #Algorithm
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
• Patients at risk ... Assessment: • Evaluation ... ultrasound) • Muscle function ... muscle mass and function
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... infection and high risk ... #Prophylaxis #Endoscopy
Celiac Disease - Diagnosis Algorithm IgA TTG has high sensitivity and specificity of ~ 98% and is
Disease - Diagnosis Algorithm ... serologic marker for evaluating ... relatives have inc risk ... Disease #Diagnosis #Algorithm
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