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
should receive endoscopic ... #Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... #Ulcers #Prevalence ... Stigmata #EGD #Endoscopy
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
Erosive gastritis, Gastric ... ulcer, Duodenal ... ulcer, SB or colon ... ulcer, Celiac sprue ... #differential #diagnosis
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
stigmata of bleeding ulcers ... #Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... #Ulcers #Prevalence ... Stigmata #EGD #Endoscopy
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... sought to support a diagnosis ... Areas of diagnostic ... definitive outcomes for users ... #Differential #Diagnosis
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... DILI) - Stepwise Diagnosis ... non-essential drug/HDS treatments ... Alcohol-related liver ... #Injury #Diagnosis
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Gastroenteritis: Treatment ... for non-healing ulcers ... • Additional diagnostic ... Gastroenteritis #Treatment