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
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 ... body mass index; FBC ... #Algorithm #Hepatology
General algorithm for the management of inflammatory pancreatic fluid collections. 

ANC, acute necrotic collection; APFC, acute
General algorithm ... for the management ... pancreatitis; PC ... collections #pseudocyst #algorithm ... #management #gastroenterology
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
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
(>10^6 IU/mL), normal ... (<2000 IU/mL), normal ... (>10^6 IU/mL), normal ... Presence of CP or PC ... #Indications #management
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
ultrasound) • Muscle function ... muscle mass and function ... Cirrhosis #diet #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 ... hemochromatosis #algorithm ... #diagnosis #management
Treatment of Pouchitis
 • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin)
 • Immune-mediated - Budesonide, Mesalamines;
Oral vancomycin (PSC-enteritis ... • Structural/functional ... pouchitis #Treatment #management