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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Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
Causes of Severe ... Acute Liver Injury ... Hemochromatosis - Primary ... #LiverInjury #Severe ... #Differential #Hepatology
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
and Management Algorithm ... factors: Previous acute ... severity: - Less severe ... common: Food, Acute ... Menses - More severe
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... dose, duration), Several ... biliary obstruction, Primary ... biliary cholangitis, Primary ... dechallenge • Acute
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
pylori infection, Acute ... a structurally normal ... Diagnosis #Management #algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... #Algorithm #Hepatology ... Liver #Enzymes #Differential
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
(>10^6 IU/mL), normal ... (<2000 IU/mL), normal ... immunosuppression • Acute ... infection with severe ... > 3 mg/dL) or acute
Autoimmune Hepatitis (AIH) Management Algorithm - Induction and Maintenance
 - AIH
 - AIH with Cirrhosis
 -
AIH) Management Algorithm ... Cirrhosis - Acute ... Severe AIH # ... AIH #Management #Algorithm
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
fecal elastase Abnormal ... Pancreatic atrophy, Acute ... Shwachman-Diamond syndrome Normal ... elastase #low #differential
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD)
Irritable bowel syndrome
The criteria must be fulfilled
episodes of intense, acute ... should be the most severe ... interferes with normal