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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Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis (EoE ... /hpf 1-6 eos/hpf ... • Histology: Normal ... • Endoscopy: Normal ... #Esophagitis #EoE
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... #Algorithm #Hepatology ... Liver #Enzymes #Differential
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
a structurally normal ... Diagnosis #Management #algorithm
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
replacement of normal ... Clinical decision algorithm
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... <45% and SF is normal ... hemochromatosis #algorithm
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
fecal elastase Abnormal ... Shwachman-Diamond syndrome Normal ... elastase #low #differential
Primary Biliary Cirrhosis - Management
A. Initiate therapy 
 - Initiate 1st line therapy with UDCA (13-15
Primary Biliary ... 1.5x ULN and/or abnormal ... disease #PBC #Primary
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
adenoma - 17.6% Normal ... #Colonoscopy #differential