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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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
Carcinoid Syndrome - Pathophysiology, Signs and Symptoms
Symptoms: Flushing, diarrhea, palpitations, bronchospasm
Complications: Carcinoid heart, mesenteric fibrosis, pellagra,
Carcinoid Syndrome ... neuropsychological disorders ... #Carcinoid #Syndrome
Ileal Pouch Disorders - Differential Diagnosis
 • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Ileal Pouch Disorders ... Efferent limb syndrome ... • Functional: Irritable ... pouch syndrome, ... #Ileal #Pouch #Disorders
Rome IV Criteria for the Irritable Bowel Syndrome.

#Diagnosis #PrimaryCare #IBS #IrritableBowelSyndrome #RomeIV #Criteria
Criteria for the Irritable ... Bowel Syndrome.
FODMAP (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) elimination diet

#FODMAP #diet #foods #ibs #irritable #bowel #syndrome
diet #foods #ibs #irritable ... #bowel #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
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Shwachman-Diamond syndrome ... acid diarrhoea, Irritable ... bowel syndrome, ... Rheumatological disorders
IBS-C Pharmacologic Therapies and Recommendations
Linaclotide, Plecanatide, Lubiprostone, PEG laxatives, Tegaserod, Rifaximin, Eluxadoline, Alosetron, Loperamide, TCAs, SSRIs,
Antispasmodics #IBSC #irritable ... #bowel #syndrome
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary Syndrome ... Hepatopulmonary Syndrome ... Hepatopulmonary #Syndrome ... shunting #hepatology #clinical
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Hypereosinophilic syndrome ... Connective tissue disorders ... • Autoimmune disorders ... • Hyper-IgE syndrome ... • Netherton's syndrome