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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Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... and Management Algorithm ... functional somatic syndromes ... Irritable #Bowel #Syndrome ... Diagnosis #Management #Algorithm
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
of Esophageal Eosinophilia ... reflux disease • Eosinophilic ... Hypereosinophilic syndrome ... • Hyper-IgE syndrome ... #esophagitis #Eosinophilic
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... HPS) Diagnosis Algorithm ... Hepatopulmonary #Syndrome ... HPS #Diagnosis #Algorithm
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... with PBC #PBC #Primary ... Cirrhosis #Diagnosis #Algorithm
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
congenital - Primary ... disease (Budd-Chiari syndrome
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Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... biliary obstruction, Primary ... biliary cholangitis, Primary ... Injury #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... presence of metabolic syndrome ... LFTs #Abnormal #Algorithm
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis ... EoE) - Treatment Algorithm ... directed #EoE #Eosinophilic ... Esophagitis #Treatment #Algorithm
Eosinophilic Gastroenteritis Management Algorithm
 - PPI x 8 weeks
 - Dietary therapy with Empiric Elimination or
Eosinophilic Gastroenteritis ... Management Algorithm ... 8 wks #EoE #Eosinophilic ... Gastroenteritis #Management #Algorithm
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... EOE) Management Algorithm ... EoE #Refractory #Eosinophilic ... Esophagitis #Management #Algorithm