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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73 results
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... - Resections (ESD ... Gastroenterology #EGD
Upper Endoscopy EGD Visualization Checklist

#Upper #Endoscopy #EGD #Visualization #Checklist #gastroenterology #esophagogastroduodenoscopy
Upper Endoscopy EGD ... Upper #Endoscopy #EGD
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... (IBS) - Pathophysiology ... functional somatic syndromes ... Pregabalin #IBS ... Irritable #Bowel #Syndrome
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
rubber bleb nevus syndrome ... Osler-Weber-Rendu syndrome ... Plummer-Vinson syndrome ... Ehlers-Danlos syndrome ... , Inherited syndromes
Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
Surveillance #Hepatology #EGD
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
100% Re-bleeding Ib ... gastroenterology #EGD
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... Algorithm Bubble echo is ... nail on the dx is ... If <15 it is a simple ... Hepatopulmonary #Syndrome
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Upper #Endoscopy #EGD
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Hiatus Hernia Is ... diagnosis #endoscopy #EGD