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 management referral consultation egd eosinophilic esophagitis giconsult hepatology liver primer classification colon dyspepsia erefs gastric gim grading ileal
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis (EoE ... symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy
The Gastroenterology Consult Primer Guide to Calling a GI Consult HPI: - Start with reason for consult
Primer Guide to Calling ... History - Prior endoscopy ... & endoscopist ... GIConsult #Primer #Calling
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... structurally normal endoscopy ... Early satiety #Functional ... Diagnosis #Management #algorithm
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
Primer - Guide to calling ... paracentesis - Prior endoscopy ... & endoscopist ( ... 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
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic
Treatment of Pouchitis • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin) • Immune-mediated - Budesonide, Mesalamines;
• Structural/functional ... obstruction-fecal stasis - Endoscopic
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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