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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15 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Surgery consults +/- antibiotics ... #management #gastroenterology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... ascites removed • Acute ... kg 3rd day with antibiotics ... #Indications #Management ... #Cirrhosis #treatment
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... Bleeding #Risks #Gastroenterology ... #EGD #LowRisk # ... #Management #Guidelines
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... and Management ... SBP: Medical Management ... dysfunction or liver ... Peritonitis #SBP #Diagnosis
An algorithm of diagnostic and therapeutic recommendations for patients with microscopic colitis.

#Microscopic #Colitis #Lymphocytic #Collagenous #Algorithm
An algorithm of diagnostic ... Collagenous #Algorithm #Management ... #Treatment #Gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... - Patient s/p liver ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #Management
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... and Management ... pylori infection, Acute ... #Management #algorithm ... #gastroenterology
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
immunosuppression • Acute ... infection with severe liver ... > 3 mg/dL) or acute ... liver failure ... #Indications #management
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... and treatment of ... hemochromatosis #algorithm #diagnosis ... #management #hepatology ... #gastroenterology
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 ... dechallenge • Acute ... #Injury #Diagnosis