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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5 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... Surgery consults +/- antibiotics ... esophagus #diagnosis #management
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis ... directed #EoE #Eosinophilic ... #Esophagitis #Treatment ... #Algorithm #management
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... Esophagitis (EOE ... ) Management Algorithm ... EoE #Refractory #Eosinophilic ... #Esophagitis #Management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... 2015) Give Antibiotics ... Peritoneal dialysis & colonoscopy ... Do Not Give Antibiotics ... Gastroenterology #Management
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids
 • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... @GIreview #Eosinophilic ... #Esophagitis #EoE ... Corticosteroids #management