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 differential gastroenterology endoscopy bleeding esophagus hepatology video boerhaave deficiency low a4c abdominalpain abnormal active algorithm anemia bottlecap bubble chestxray
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
Causes of Small ... Diagnosis Common Causes ... NSAID ulcers Rare Causes ... , Inherited syndromes ... Differential #Diagnosis #Causes
EGD Nail Removal in the Duodenum 6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd ... gastroenterology #retrieval #clinical
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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/
Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome ... differential #diagnosis #causes
Brisk Gastric Bleeding on Upper Endoscopy 87 year old female. Acute bleeding in stomach. Dieulafoy’s Lesion
Upper #Endoscopy #EGD ... gastroenterology #clinical
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 Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
Gastrointestinal Causes ... rubber bleb nevus syndrome ... Deficiency #Anemia #Causes
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
gastroenterology #EGD ... #clinical
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
disease (Budd-Chiari syndrome ... Hepatology #Cirrhosis #Causes
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 Trichuris dysentery syndrome on sigmoidoscopy (whipworms) An 8y child was referred for sigmoidoscopy from a pediatric unit.
Trichuris dysentery syndrome ... polyp (mentioned cause ... Trichuris #dysentery #syndrome
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 Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
Causes of Low Vitamin ... and Sjögren's syndrome
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
evaluation of the clinical ... /or suspicious clinical ... the remainder, a clinical ... presence of metabolic syndrome ... elevation and clinical
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