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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Gastric Epithelial Polyps - Evaluation and Management 
Hyperplastic Polyps
Fundic gland polyps (FGP)
Gastric Adenomas
Gastric Neuroendocrine Tumours (NET)
Hamartomatous
Gastric Epithelial ... Polyps - Evaluation ... Adenomas Gastric ... #Epithelial #Polyps ... #diagnosis #Management
Focused evaluation algorithm for acute liver injury

#Liver #Injury #Acute #Evaluation #Algorithm #Diagnosis #Hepatology
Focused evaluation ... algorithm for acute liver ... injury #Liver ... Injury #Acute #Evaluation ... #Algorithm #Diagnosis
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... replacement of normal gastric ... by intestinal epithelium ... response to chronic gastric ... Metaplasia #GIM #diagnosis
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... Nonalcoholic fatty liver ... 14 percent) #Diagnosis ... Differential #Hepatology #Cirrhosis
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... normal, further evaluation ... Patients with cirrhosis ... C282Y homozygote, evaluation ... hemochromatosis #algorithm #diagnosis
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Gastrointestinal Evaluation ... patients with anemia, diagnose ... perform routine gastric ... Gastrointestinal #Evaluation ... #workup #diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary Cirrhosis ... - Diagnosis Algorithm ... Liver biopsy findings ... Primary #Biliary #Cirrhosis ... #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
indicate the initial evaluation ... history alongside evaluation ... sought to support a diagnosis ... Areas of diagnostic ... #Differential #Diagnosis
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... ) • Advanced liver ... Assessment: • Evaluation ... cirrhosis. ... #Nutrition #Cirrhosis
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... air gently till gastric ... with columnar epithelium ... Documentation #EGD #diagnosis