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 a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... pancreas), Genetic causes ... Shwachman-Diamond syndrome ... acid diarrhoea, Irritable ... bowel syndrome,
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... Syndrome (IBS) - ... functional somatic syndromes ... Pregabalin #IBS #Irritable ... #Bowel #Syndrome
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
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
Drugs and Classes Associated with DILI and Type of Liver Injury

#Medications #Differential #DrugInduced #LiverInjury #Hepatology #Pharmacology
Drugs and Classes ... #Pharmacology #Causes
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
Gastrointestinal Causes ... rubber bleb nevus syndrome ... Deficiency #Anemia #Causes
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
disease (Budd-Chiari syndrome ... Hepatology #Cirrhosis #Causes
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
risk: No symptoms caused ... risk: Symptoms caused ... such as jaundice, nausea
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
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
Causes of Severe ... Severe #Acute #Causes