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 ... a structurally normal ... Early satiety #Functional ... Diagnosis #Management #algorithm
Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
female-predominant disease ... of autoimmune disease ... relative with PBC ... Pathophysiology ... Cholestasis #PBC
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Cirrhosis - Diagnosis Algorithm ... associated autoimmune disease ... of autoimmune disease ... #PBC #Primary ... Cirrhosis #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... alcohol-related liver disease ... body mass index; FBC ... #Algorithm #Hepatology
Functional Dyspepsia - Signs, Symptoms and Pathophysiology
Delayed gastric emptying - Postprandial fullness, nausea, vomiting
Hypersensitivity to gastric
Functional Dyspepsia ... , Symptoms and Pathophysiology ... nonerosive reflux disease ... Epigastric pain #Functional ... #Dyspepsia #Pathophysiology
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Syndrome (IBS) - Pathophysiology ... and Management Algorithm ... Younger age, Other functional ... Bowel #Syndrome #Pathophysiology ... Diagnosis #Management #Algorithm
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Advanced liver disease ... ultrasound) • Muscle function ... chronic liver diseases ... muscle mass and function ... management #hepatology #pathophysiology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... <45% and SF is normal ... causes of liver disease ... hemochromatosis #algorithm
Primary Biliary Cirrhosis - Management
A. Initiate therapy 
 - Initiate 1st line therapy with UDCA (13-15
1.5x ULN and/or abnormal ... Stage & survey disease ... #PBC #Primary