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 endoscopy abnormal acute algorithm antibiotic black bleeding causes cystic elastase endoscopic enzymes esophageal esophagus fecal gastric gim guidelines hepatology
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Differential: Melanosis ... black #esophagus #diagnosis ... #management #gastroenterology
Pancreatic cystic lesions (PCLs) - classified into simple retention cysts, pseudocysts and cystic neoplasms -
histological and clinical ... characteristics - various diagnostic ... gastroenterology #diagnosis ... #management #differential
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
/or suspicious clinical ... sought to support a diagnosis ... Areas of diagnostic ... Liver #Enzymes #Differential ... #Diagnosis
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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... Prophylaxis #Endoscopy #EGD ... Gastroenterology #Management
Causes of a low fecal elastase Abnormal pancreatic imaging: Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
malformation (eg ... elastase #low #differential ... #diagnosis #causes
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