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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Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... Areas of diagnostic ... #Algorithm #Hepatology ... Liver #Enzymes #Differential ... #Diagnosis
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Syndrome (HPS) Diagnosis ... Algorithm Bubble ... the dx is an A-a gradient ... Syndrome #HPS #Diagnosis ... #Algorithm #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Ascites Albumin Gradient ... Matherly @liverprof #Diagnosis ... Serum #Albumin #Gradient ... Interpretation #Differential
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
ReFerence #Score #diagnosis ... #classification ... gastroenterology #EGD #grading
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... months before diagnosis ... a structurally normal ... Pathophysiology #Diagnosis ... #Management #algorithm
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
replacement of normal ... Clinical decision algorithm ... Metaplasia #GIM #diagnosis
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... the diagnosis and ... <45% and SF is normal ... hemochromatosis #algorithm ... #diagnosis #management
FAPD - Functional Abdominal Pain - Diagnosis Algorithm
Functional abdominal pain not otherwise
Abdominal migraine
Functional Constipation
IBS
Functional Dyspepsia

#FAPD #Functional
Abdominal Pain - Diagnosis ... Algorithm Functional ... AbdominalPain #Diagnosis ... #Algorithm #gastroenterology ... #differential
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
fecal elastase Abnormal ... Shwachman-Diamond syndrome Normal ... elastase #low #differential ... #diagnosis #causes
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
adenoma - 17.6% Normal ... #Colonoscopy #differential ... #diagnosis #gastroenterology