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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Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Cirrhosis - Diagnosis Algorithm ... associated autoimmune disease ... of autoimmune disease ... #PBC #Primary ... Cirrhosis #Diagnosis #Algorithm
Crohn's Disease - Surgical Options
 - Stricturoplasty
 - Resection
 - Colectomy
 - Proctocolectomy

#Crohns #Disease #Surgical #intervention
Crohn's Disease ... Proctocolectomy #Crohns #Disease ... gastroenterology #IBD
Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
female-predominant disease ... of autoimmune disease ... relative with PBC ... Cholestasis #PBC
Inflammatory Bowel Disease (IBD) Diet Recommendations:
Crohn's Disease:
 • Increase: Vegetables, Fruits
 • Decrease: Saturated and trans
Inflammatory Bowel Disease ... (IBD) Diet Recommendations ... : Crohn's Disease ... Inflammatory #Bowel #Disease ... #IBD #Diet #recommendations
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Checklist for Adult IBD ... Vaccine Preventable Diseases ... Depression check #IBD ... inflammatory #bowel #disease
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Biliary Cannulation (SBC ... with difficult SBC ... insertion into the BD ... ST upward (the BD ... #Cannulation #SBC
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... alcohol-related liver disease ... body mass index; FBC ... non-alcoholic fatty liver disease ... LFTs #Abnormal #Algorithm
General algorithm for the management of inflammatory pancreatic fluid collections. 

ANC, acute necrotic collection; APFC, acute
General algorithm ... pancreatitis; PC ... collections #pseudocyst #algorithm
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Bowel Syndrome (IBS ... and Management Algorithm ... Pregabalin #IBS ... Diagnosis #Management #Algorithm
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver disease ... algorithm. ... NAFLD or liver disease ... non-alcoholic fatty liver disease ... #NAFLD #algorithm