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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differential hepatology gastroenterology cirrhosis pbc primary deficiency liver low management abdominalpain abnormal acute anemia bleeding bowel celiac cholangitis cobalamin criteria
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Biliary Pain 20% ... Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome ... #differential #diagnosis ... #causes
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe ... hepatitis - Acute biliary ... Hemochromatosis - Primary biliary ... Severe #Acute #Causes ... Differential #Hepatology #Diagnosis
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... disease (Budd-Chiari syndrome ... 14 percent) #Diagnosis ... Hepatology #Cirrhosis #Causes
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 Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
Causes of Small ... - Differential Diagnosis ... Common Causes: ... NSAID ulcers Rare Causes ... #Differential #Diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... Algorithm Symptoms ... #PBC #Primary #Biliary ... #Algorithm #hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... Algorithm DILI ... for alternative causes ... Benign/malignant biliary ... #Algorithm #hepatology
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... (HPS) Diagnosis ... Algorithm Bubble ... #HPS #Diagnosis ... #Algorithm #hepatology
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... Pathophysiology, Diagnosis ... and Management Algorithm ... Pathophysiology #Diagnosis ... #Management #Algorithm
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... presence of metabolic syndrome ... Areas of diagnostic ... include extrahepatic biliary ... LFTs #Abnormal #Algorithm
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
Gastrointestinal Causes ... rubber bleb nevus syndrome ... Deficiency #Anemia #Causes ... #differential #diagnosis
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