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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Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... - Pathophysiology ... Diagnosis and Management ... #Diagnosis #Management ... #algorithm #gastroenterology
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Empiric elimination diet ... Empiric elimination diet ... • Elemental diet ... Hematology consult for evaluation ... Gastroenteritis #Treatment #management
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Syndrome (IBS) - Pathophysiology ... Diagnosis and Management ... Algorithm Risk ... Younger age, Other functional ... #Diagnosis #Management
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Assessment: • Evaluation ... ultrasound) • Muscle function ... muscle mass and function ... #management #hepatology ... #pathophysiology
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... Preserved liver function ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... LFTs #Abnormal #Algorithm
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... normal, further evaluation ... C282Y homozygote, evaluation ... hemochromatosis #algorithm ... #diagnosis #management
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Esophagitis (EOE) Management ... Algorithm Initial ... Dilation, Elemental diet ... #Esophagitis #Management ... #Algorithm #gastroenterology
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
EoE) - Treatment Algorithm ... corticosteroids Diet ... Esophagitis #Treatment #Algorithm ... #management #gastroenterology
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... Algorithm - Step ... Lifestyle and Diet ... #Reflux #GERD #Management ... #Algorithm #ppi