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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Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... Diagnosis and Management ... a structurally normal ... Early satiety #Functional ... #algorithm #gastroenterology
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... Preserved liver function ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
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 ... 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
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Diagnosis and Management ... Algorithm Risk ... Younger age, Other functional ... Pathophysiology #Diagnosis #Management ... #Algorithm #gastroenterology
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
replacement of normal ... Clinical decision algorithm ... for GIM management ... GIM #diagnosis #management
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... <45% and SF is normal ... If other causes ... hemochromatosis #algorithm ... #diagnosis #management
Cold Snare Polypectomy - Tips and Tricks
 - Before initiating cold snare polypectomy, it is important
fold and in the management ... In most cases, this ... anchored to the normal ... #Tips #Tricks#management
Primary Biliary Cirrhosis - Management
A. Initiate therapy 
 - Initiate 1st line therapy with UDCA (13-15
Primary Biliary ... Cirrhosis - Management ... 1.5x ULN and/or abnormal ... #PBC #Primary #Biliary ... #Cirrhosis #Management
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD)
Irritable bowel syndrome
The criteria must be fulfilled
for diagnosing Functional ... resolves have functional ... medical condition Functional ... interferes with normal ... following: anorexia, nausea