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 differential hepatology gastroenterology liver abdominalpain cirrhosis criteria dili diseases disorders druginduced elastase enzymes fapd fecal functional gallstone hemochromatosis injury
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Biliary Pain 20% ... Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome ... differential #diagnosis #causes
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... disease (Budd-Chiari syndrome ... Hepatology #Cirrhosis #Causes
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 Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... presence of metabolic syndrome ... include extrahepatic biliary ... #Algorithm #Hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... for alternative causes ... Benign/malignant biliary ... obstruction, Primary biliary ... Injury #Diagnosis #Algorithm
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. Step 1: In the patient with
Algorithm regarding ... <45% and SF is normal ... out additional causes ... If other causes ... hemochromatosis #algorithm
Causes of a low fecal elastase Abnormal pancreatic imaging: Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... fecal elastase Abnormal ... Shwachman-Diamond syndrome ... Normal Pancreatic ... Irritable bowel syndrome
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD) Irritable bowel syndrome The criteria must be fulfilled
Irritable bowel syndrome ... irritable bowel syndrome ... interferes with normal ... following: anorexia, nausea ... irritable bowel syndrome
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