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 diagnosis acute black deficiency egd esophageal esophagus evaluation gastrointestinal ileal indications iron necrosis pouchitis prophylaxis treatment workup
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Iron Deficiency Anemia ... Bidirectional endoscopy ... biopsies Capsule endoscopy ... bidirectional endoscopy ... change medical management
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
EGD and Biopsy Differential ... Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... Surgery consults +/- antibiotics ... esophagus #diagnosis #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... for Endoscopy ( ... 2015) Give Antibiotics ... #Prophylaxis #Endoscopy ... Gastroenterology #Management
Treatment of Pouchitis • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin) • Immune-mediated - Budesonide, Mesalamines;
Microbiota-associated - Antibiotics ... obstruction-fecal stasis - Endoscopic ... pouchitis #Treatment #management
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