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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diagnosis gastroenterology hepatology cirrhosis deficiency liver low abdominalpain abnormal acute anemia bleeding cobalamin dili disorders druginduced dyspepsia elastase enzymes eoe
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe ... hepatitis - Acute biliary ... hepatitis - Wilson disease ... Severe #Acute #Causes ... #Differential #
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Gallstone Diseases ... Biliary Pain 20% ... #Gallstone #Diseases ... #differential # ... diagnosis #causes
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... - Wilson disease ... Venoocclusive disease ... #Diagnosis #Differential ... Hepatology #Cirrhosis #Causes
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 Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... associated autoimmune disease ... of autoimmune disease ... #PBC #Primary #Biliary
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... for alternative causes ... Alcohol-related liver disease ... Benign/malignant biliary ... obstruction, Primary biliary
Functional Dyspepsia - Signs, Symptoms and Pathophysiology Delayed gastric emptying - Postprandial fullness, nausea, vomiting Hypersensitivity to gastric
Functional Dyspepsia ... hypersensitivity - Nausea ... hypersensitivity - Nausea ... nonerosive reflux disease ... Epigastric pain #Functional
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... include extrahepatic biliary ... LFTs #Abnormal #Algorithm ... Liver #Enzymes #Differential
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
Gastrointestinal Causes ... sprue, Whipple's disease ... ulcers, Crohn's disease ... Deficiency #Anemia #Causes ... #differential #
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
Causes of Small ... Bowel Bleeding - Differential ... Diagnosis Common Causes ... Inflammatory Bowel Disease ... SmallBowel #Bleeding #Differential
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
Causes of Low Vitamin ... insufficiency, Crohn 's disease ... , coeliac disease ... low #cobalamin #differential
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