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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Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... Transcobalamin II deficiency ... #VitaminB12 #deficiency ... #differential #
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Evaluation of Iron Deficiency ... diagnose iron deficiency ... of small bowel pathology ... management #Iron #Deficiency
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
-1 antitrypsin deficiency ... Acute #Causes #Differential
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
Causes of Iron Deficiency ... Gastrointestinal #Iron #Deficiency ... Anemia #Causes #differential
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
α1-antitrypsin deficiency ... #Diagnosis #Differential
Causes of Aplastic Anemia

#Aplastic #Anemia #Causes #Pathophysiology #Pathology #Treatment #Management #Differential
Pathophysiology #Pathology ... Treatment #Management #Differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
oncotic pressure Low ... Interpretation #Differential
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
#Colonoscopy #differential ... gastroenterology #pathology
Ileal Pouch Disorders - Differential Diagnosis
 • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Pouch Disorders - Differential ... loss, Vit D/B12 deficiency ... Pouch #Disorders #Differential
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... fecal #elastase #low ... #differential #