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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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
risk of further bleeding ... should receive endoscopic ... #Diagnosis #Gastroenterology ... #Gastric #Ulcers ... Stigmata #EGD #Endoscopy
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 ... #Endoscopy #EGD ... #gastroenterology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... LowRisk #HighRisk #Diagnosis
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
The Gastroenterology ... Focus on prior GI/Liver ... History - Prior endoscopy ... last meal - Treatment ... GregoryTBrennan #Liver
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... risks of further bleeding ... #Diagnosis #Gastroenterology ... #Gastric #Ulcers ... 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 ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD ... #gastroenterology
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... replacement of normal gastric ... GIM management Endoscopic ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... perform routine gastric ... Evaluation #workup #diagnosis ... #gastroenterology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... and treatment of ... symptoms, elevated liver ... hemochromatosis #algorithm #diagnosis ... management #hepatology #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... - Patient s/p liver ... #Prophylaxis #Endoscopy ... #Indications #Gastroenterology