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 management eosinophilic diagnosis esophagitis referral consultation egd giconsult hepatology liver primer treatment classification colon dyspepsia endoscopic erefs functional gastric
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis (EoE ... symptom metric • Endoscopy ... : Persistent endoscopic ... score < 20 • Endoscopy ... #Esophagitis #EoE
The Gastroenterology Consult Primer Guide to Calling a GI Consult HPI: - Start with reason for consult
Primer Guide to Calling ... History - Prior endoscopy ... GIConsult #Primer #Calling
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
Primer - Guide to calling ... paracentesis - Prior endoscopy ... GIConsult #Primer #Calling
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis (EoE ... ) - Endoscopic ReFerence ... Present #EREFS #EoE ... #Esophagitis #Endoscopic
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
structurally normal endoscopy ... Diagnosis #Management #algorithm
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Eosinophilic Esophagitis (EOE ... ) Management Algorithm ... elimination Continued EoE ... #EoE #Refractory ... Esophagitis #Management #Algorithm
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis (EoE ... ) - Treatment Algorithm ... testing directed #EoE ... Esophagitis #Treatment #Algorithm
Variceal Screening Algorithm in Cirrhosis No varices -> repeat 2-3 years Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... Variceal #Screening #Algorithm ... varices #hepatology #endoscopy
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