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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Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary ... Syndrome (HPS) Diagnosis ... Themis_Kourk #Hepatopulmonary ... #Syndrome #HPS
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
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary ... Syndrome on Echocardiogram ... (A4C) Hepatopulmonary ... Syndrome: Intrapulmonary ... #Syndrome #Echocardiogram
Trichuris dysentery syndrome on sigmoidoscopy (whipworms)

An 8y child was referred for sigmoidoscopy from a pediatric unit.
Trichuris dysentery syndrome ... paed unit for endoscopy ... Trichuris #dysentery #syndrome
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... on Endoscopy ... Boerhaave Syndrome ... #Boerhaave #Syndrome ... #clinical #endoscopy
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
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... on Endoscopy - ... Perforation (Boerhaave Syndrome ... #Boerhaave #Syndrome ... #clinical #endoscopy
IBS-C Pharmacologic Therapies and Recommendations
Linaclotide, Plecanatide, Lubiprostone, PEG laxatives, Tegaserod, Rifaximin, Eluxadoline, Alosetron, Loperamide, TCAs, SSRIs,
Antispasmodics #IBSC #irritable ... #bowel #syndrome
Ileal Pouch Disorders - Differential Diagnosis
 • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Efferent limb syndrome ... Afferent limb syndrome ... • Functional: Irritable ... pouch syndrome,