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 gastroenterology hepatology algorithm liver cirrhosis management pathophysiology pbc primary acute criteria deficiency disorders functional ibs injury low romeiv signs
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
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 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
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 ... after pregnancy Diagnose ... #PBC #Primary #Biliary ... #Cirrhosis #Diagnosis
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... for alternative causes ... Benign/malignant biliary ... obstruction, Primary biliary ... Liver #Injury #Diagnosis
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
Difficult Selective Biliary Cannulation (SBC) Factors associated with difficult SBC: - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... site - OTHERS: biliary ... #Selective #Biliary ... gastroenterology #management #diagnosis
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... Pathophysiology, Diagnosis ... functional somatic syndromes ... Irritable #Bowel #Syndrome ... Pathophysiology #Diagnosis
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS Features of low cancer risk: No symptoms caused by the
Pancreatic Cyst Diagnosis ... risk: No symptoms caused ... risk: Symptoms caused ... such as jaundice, nausea ... Pancreatic #Cyst #Diagnosis
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