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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Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... and Sjögren's syndrome ... VitaminB12 #deficiency #low ... #cobalamin #differential
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
evaluation of the clinical ... /or suspicious clinical ... the remainder, a clinical ... presence of metabolic syndrome ... Liver #Enzymes #Differential
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,
Causes of a low ... Shwachman-Diamond syndrome ... Irritable bowel syndrome ... fecal #elastase #low ... #differential #