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 ... a structurally normal ... #algorithm #gastroenterology
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
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
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
ultrasound) • Muscle function ... muscle mass and function ... Nutrition #Cirrhosis #diet ... #management #hepatology ... #pathophysiology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... *Abnormal USS may ... #Algorithm #Hepatology
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
replacement of normal ... Clinical decision algorithm ... for GIM management ... GIM #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
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... <45% and SF is normal ... hemochromatosis #algorithm ... #diagnosis #management