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 hepatology gastroenterology causes management algorithm pathophysiology cirrhosis liver table acute bowel clinical esophagus ibs irritable abdominalpain albumin anemia boerhaave
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
Bowel Bleeding - Differential ... Plummer-Vinson syndrome ... Ehlers-Danlos syndrome ... , Inherited syndromes ... SmallBowel #Bleeding #Differential
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 ... Gallstone #Diseases #differential
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
disease (Budd-Chiari syndrome ... #Diagnosis #Differential
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 Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis • Gastroesophageal reflux disease • Eosinophilic gastrointestinal
Eosinophilia (EoE) - Differential ... Hypereosinophilic syndrome ... • Hyper-IgE syndrome ... • Netherton's syndrome ... #Eosinophilic #Differential
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
rubber bleb nevus syndrome ... Anemia #Causes #differential
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
and Sjögren's syndrome ... low #cobalamin #differential
Ileal Pouch Disorders - Differential Diagnosis • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Pouch Disorders - Differential ... Efferent limb syndrome ... Afferent limb syndrome ... Irritable pouch syndrome ... Pouch #Disorders #Differential
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
presence of metabolic syndrome ... Liver #Enzymes #Differential
Causes of a low fecal elastase Abnormal pancreatic imaging: Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Shwachman-Diamond syndrome ... Irritable bowel syndrome ... elastase #low #differential
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... functional somatic syndromes ... Irritable #Bowel #Syndrome
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