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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Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Pseudomembranous esophagitis ... Surgery consults +/- antibiotics ... Braghirol @KBrag_MD #Acute ... #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
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... (EOE) Management ... #Eosinophilic #Esophagitis ... #Management #Algorithm ... #gastroenterology
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis ... (EoE) - Treatment ... #Eosinophilic #Esophagitis ... #Treatment #Algorithm ... #management #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
diagnosis and treatment ... symptoms, elevated liver ... A liver biopsy can ... algorithm #diagnosis #management ... #hepatology #gastroenterology
Acute Pouchitis - Management Algorithm

#Acute #Pouchitis #Management #Algorithm #Treatment #gastroenterology
Acute Pouchitis ... - Management Algorithm ... #Acute #Pouchitis ... #Management #Algorithm ... #Treatment #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... 2015) Give Antibiotics ... - Patient s/p liver ... #Indications #Gastroenterology ... #Management
Treatment of Pouchitis
 • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin)
 • Immune-mediated - Budesonide, Mesalamines;
Treatment of Pouchitis ... Microbiota-associated - Antibiotics ... ileal #pouchitis #Treatment ... #management #gastroenterology
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids
 • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... formulations for treatment ... is available Gastroenterology ... #Eosinophilic #Esophagitis ... Corticosteroids #management