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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Colonoscopy Tips and Tricks 

By Dr. Steven Bollipo @stevenbollipo and Dr. Enrik Aguila @enrrikke

#Colonoscopy #Tips #Tricks
Colonoscopy Tips ... @enrrikke #Colonoscopy ... Tricks #management #gastroenterology ... #fellows #endoscopy
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... - EUS with out ... #Risks #Gastroenterology
Endoscopic Ultrasound (EUS) - 6 Landmarks

#Endoscopic #Ultrasound #EUS #Landmarks #diagnosis #gastroenterology
Endoscopic Ultrasound ... (EUS) - 6 Landmarks ... #Endoscopic ... #Ultrasound #EUS ... Landmarks #diagnosis #gastroenterology
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy ... Response #diagnosis #gastroenterology
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Cyst Diagnosis on Endoscopic ... Ultrasound EUS ... Cyst #Diagnosis #EUS ... #risk #gastroenterology
Endoscopic Ultrasound Basics - Gl wall structure- how many layers?
1st layer - hyperechoic - corresponds to
Endoscopic Ultrasound ... layers #structure #Endoscopic ... #Ultrasound #eus ... #gastroenterology
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
Slippage at UES ... take time at LES/UES ... Nail #Removal #Endoscopy ... esophagogastroduodenoscopy #gastroenterology
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The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
paracentesis - Prior endoscopy ... up - Liver US ... Referral #Hepatology #Gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... Peritoneal dialysis & colonoscopy ... prosthesis - EUS-FNA ... #Indications #Gastroenterology
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
Polyp Incidence on Colonoscopy ... Polyps #Incidence #Colonoscopy ... #differential # ... diagnosis #gastroenterology