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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Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... - Resections (ESD ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... RodriguezParra_ #active #Gastric ... Bleeding #Upper #Endoscopy ... #EGD #gastroenterology
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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
should receive endoscopic ... #Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... Prevalence #Stigmata #EGD ... #Endoscopy
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
: - tops of gastric ... Measure Depth of Endoscope ... Measure Depth of Endoscope ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
consult - I-liner ... Focus on prior GI/Liver ... History - Prior endoscopy ... last meal - Treatment ... GregoryTBrennan #Liver
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... replacement of normal gastric ... response to chronic gastric ... GIM management Endoscopic ... Metaplasia #GIM #diagnosis
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... perform routine gastric ... bidirectional endoscopy ... Evaluation #workup #diagnosis
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
#Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... Prevalence #Stigmata #EGD ... #Endoscopy
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... ReFerence #Score #diagnosis ... gastroenterology #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... air gently till gastric ... Documentation #EGD ... #diagnosis #gastroenterology