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.
Abnormal liver function ... initial response to abnormal ... presence of metabolic syndrome ... #Algorithm #Hepatology ... Liver #Enzymes #Differential
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
disease (Budd-Chiari syndrome ... #Diagnosis #Differential ... #Hepatology #Cirrhosis
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary Syndrome ... Hepatopulmonary Syndrome ... Hepatopulmonary #Syndrome ... bubble #shunting #hepatology ... #clinical
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Boerhaave Syndrome ... #Boerhaave #Syndrome ... #clinical #endoscopy ... #video #EGD #esophagus
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... Perforation (Boerhaave Syndrome ... #Boerhaave #Syndrome ... #clinical #endoscopy ... #video #EGD #esophagus
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 Pancreatic ... Irritable bowel syndrome ... elastase #low #differential