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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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
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
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... and Management Algorithm ... functional somatic syndromes ... Irritable #Bowel #Syndrome ... Diagnosis #Management #Algorithm
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... HPS) Diagnosis Algorithm ... Hepatopulmonary #Syndrome ... HPS #Diagnosis #Algorithm
Trichuris dysentery syndrome on sigmoidoscopy (whipworms)

An 8y child was referred for sigmoidoscopy from a pediatric unit.
Trichuris dysentery syndrome ... paed unit for endoscopy ... Trichuris #dysentery #syndrome
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... presence of metabolic syndrome ... LFTs #Abnormal #Algorithm
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... on Endoscopy ... Boerhaave Syndrome ... #Boerhaave #Syndrome ... #clinical #endoscopy