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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diagnosis hepatology causes cirrhosis gastroenterology algorithm management anemia deficiency liver nafld nonalcoholic abnormal acute albumin analysis aplastic ascites biliary bleeding
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... insufficiency, Crohn 's disease ... , coeliac disease ... #cobalamin #differential
Primary Biliary Cirrhosis - Pathophysiology Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish Epigentics Risk
Biliary Cirrhosis - Pathophysiology ... female-predominant disease ... of autoimmune disease ... relative with PBC Pathophysiology ... Biliary #Cirrhosis #Pathophysiology
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Prioritizing Tool • Low ... Advanced liver disease ... chronic liver diseases ... • Prescribe low ... management #hepatology #pathophysiology
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Nonalcoholic fatty liver disease ... - Wilson disease ... Venoocclusive disease ... #Diagnosis #Differential
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 Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Gallstone Diseases ... #Gallstone #Diseases ... #differential #
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
the blood The diseased ... oncotic pressure Low ... Interpretation #Differential
Functional Dyspepsia - Signs, Symptoms and Pathophysiology Delayed gastric emptying - Postprandial fullness, nausea, vomiting Hypersensitivity to gastric
, Symptoms and Pathophysiology ... nonerosive reflux disease ... Functional #Dyspepsia #Pathophysiology
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
hepatitis - Wilson disease ... Acute #Causes #Differential
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
sprue, Whipple's disease ... ulcers, Crohn's disease ... Anemia #Causes #differential
Non-alcoholic fatty liver disease algorithm. For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver disease ... NAFLD or liver disease ... , signifying a low ... non-alcoholic fatty liver disease ... NonAlcoholic #FattyLiver #Disease
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