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 gastric acid acute algorithm antibiotic black bleeding colonic cystic differential endoscopic esophageal esophagus gerd guidelines highrisk indications intestinal
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
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Intestinal Metaplasia (GIM ... pylori) gastritis Clinical ... algorithm for GIM ... management Endoscopic ... #diagnosis #management
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 ... mlVF, PPI gtt, GI ... black #esophagus #diagnosis ... #management #gastroenterology
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding. The stigmata of
Upper GI Bleed - ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD
Pancreatic cystic lesions (PCLs) - classified into simple retention cysts, pseudocysts and cystic neoplasms -
histological and clinical ... characteristics - various diagnostic ... gastroenterology #diagnosis ... #management #differential
Colonic Kaposi Sarcoma in advanced HIV/AIDS patient with lower GIB. Lifted with epinephrine for pox bleeding. -
patient with lower GIB ... Sarcoma #colonic #colonoscopy ... #clinical #photo
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... Peritoneal dialysis & colonoscopy ... upper or lower GI ... Prophylaxis #Endoscopy #EGD ... Gastroenterology #Management
Acid Reflux - Management Algorithm - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... relapse occurs - Aim ... consider alternative diagnosis ... #Reflux #GERD #Management
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