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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Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Inflammatory Bowel Disease ... rubber bleb nevus syndrome ... Plummer-Vinson syndrome ... Ehlers-Danlos syndrome ... , Inherited syndromes
Gallstone Diseases
1. Asymptomatic Stones 75%
2. Biliary Pain 20%
3. Acute Cholecystitis 10%
4. Mirizzi's Syndrome < 0.1%
5. Cholangitis/
Gallstone Diseases ... Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome ... #Gallstone #Diseases
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... (IBS) - Pathophysiology ... functional somatic syndromes ... Pregabalin #IBS ... Irritable #Bowel #Syndrome
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Nonalcoholic fatty liver disease ... - Wilson disease ... Venoocclusive disease ... (Budd-Chiari syndrome
Crohn's Disease - Surgical Options
 - Stricturoplasty
 - Resection
 - Colectomy
 - Proctocolectomy

#Crohns #Disease #Surgical #intervention
Crohn's Disease ... Proctocolectomy #Crohns #Disease ... gastroenterology #IBD
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
sprue, Whipple's disease ... ulcers, Crohn's disease ... rubber bleb nevus syndrome
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
100% Re-bleeding Ib ... gastroenterology #EGD
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... Algorithm Bubble echo is ... nail on the dx is ... If <15 it is a simple ... Hepatopulmonary #Syndrome
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Checklist for Adult IBD ... Vaccine Preventable Diseases ... Depression check #IBD ... inflammatory #bowel #disease
Inflammatory Bowel Disease (IBD) Diet Recommendations:
Crohn's Disease:
 • Increase: Vegetables, Fruits
 • Decrease: Saturated and trans
Inflammatory Bowel Disease ... (IBD) Diet Recommendations ... : Crohn's Disease ... Inflammatory #Bowel #Disease ... #IBD #Diet #recommendations