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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Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Pancreatic Cyst ... EUS Features of low ... widening of the main pancreatic ... , Widened main pancreatic ... duct #Pancreatic
Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... overgrowth, chronic pancreatic ... VitaminB12 #deficiency #low ... #cobalamin #differential
Overview of Pancreatic Cysts
True Epithelial Cyst
Serous Cystadenoma (SCA)
Mucinous Cystic Neoplasm (MCN)
Intraductal Papillary Mucinous Neoplasm (IPMN)
Cystic Neuroendocrine
Overview of Pancreatic ... Pseudocysts #Pancreatic ... comparison #table #differential
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... #Diagnosis #Differential ... #Hepatology #Cirrhosis
Pancreatic cystic lesions (PCLs)
 - classified into simple retention cysts, pseudocysts and cystic neoplasms 
 -
Pancreatic cystic ... @KM_Pawlak #Pancreatic ... diagnosis #management #differential
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
-40 years • Low ... undetectable, low ... Family history of cirrhosis ... or fibrosis • Cirrhosis
A cirrhosis tweetorial all about the platelet

Aims:
- Identify cirrhosis based on blood tests- 
- Understand why
A cirrhosis tweetorial ... Aims: - Identify cirrhosis ... platelets are low ... in #cirrhosis ... s role in the #cirrhotic
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... Prioritizing Tool • Low ... • Prescribe low ... patients with liver cirrhosis ... #Nutrition #Cirrhosis
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... pancreatitis, Pancreatic ... resection, Pancreatic ... fecal #elastase #low ... #differential #
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
oncotic pressure Low ... Interpretation #Differential