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 a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... fecal elastase ... orlistat #fecal #elastase ... #low #differential
Low Fecal Elastase Management Algorithm

#Fecal #Elastase #Low #Management #Algorithm #gastroenterology
Low Fecal Elastase ... Algorithm #Fecal #Elastase ... #Low #Management
Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... VitaminB12 #deficiency #low ... #cobalamin #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
oncotic pressure Low ... Interpretation #Differential
Portal Hypertension Differential

#Diagnosis #Hepatology #Differential #PortalHypertension #PortalHTN #Prehepatic #Posthepatic #Intrahepatic
Portal Hypertension Differential ... Diagnosis #Hepatology #Differential
An Approach to Jaundice - Differential Diagnosis

- Increased Production (Prehepatic)
- Decreased Clearance (Intrahepatic + Posthepatic)

Dr. Eric
to Jaundice - Differential ... #Jaundice #Differential
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
guideline Low ... PEG placement (low
Microscopic Colitis - Management Algorithm
Induction: Budesonide 9 mg daily, 6 to 8 weeks
Maintenance: Budesonide low-dose (3-6
Maintenance: Budesonide low-dose
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
EUS Features of low
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
-40 years • Low ... undetectable, low