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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Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Esophageal Motility Disorders ... Spasm Jackhammer Esophagus ... Esophageal #Motility #Disorders
Carcinoid Syndrome - Pathophysiology, Signs and Symptoms
Symptoms: Flushing, diarrhea, palpitations, bronchospasm
Complications: Carcinoid heart, mesenteric fibrosis, pellagra,
Carcinoid Syndrome ... neuropsychological disorders ... #Carcinoid #Syndrome
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
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 ... elevation and clinical
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility Disorders ... Physiology: EGJ, Distal Esophagus ... Esophageal #Motility #Disorders
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
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary Syndrome ... Hepatopulmonary Syndrome ... Hepatopulmonary #Syndrome ... shunting #hepatology #clinical
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Hypereosinophilic syndrome ... Connective tissue disorders ... • Autoimmune disorders ... • Hyper-IgE syndrome ... • Netherton's syndrome
Bottlecap enlodged in the Esophagus on xray and egd
Opening a beer with your teeth ensures the
enlodged in the Esophagus ... #Bottlecap #Esophagus ... #clinical #chestxray
Ileal Pouch Disorders - Differential Diagnosis
 • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Ileal Pouch Disorders ... Efferent limb syndrome ... Afferent limb syndrome ... Irritable pouch syndrome ... #Ileal #Pouch #Disorders