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
(IBS) - Pathophysiology ... , Diagnosis and ... factors: Previous acute ... Younger age, Other functional ... common: Food, Acute
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... - Pathophysiology ... pylori infection, Acute ... Early satiety #Functional ... #Dyspepsia #Pathophysiology
Carcinoid Syndrome - Pathophysiology, Signs and Symptoms
Symptoms: Flushing, diarrhea, palpitations, bronchospasm
Complications: Carcinoid heart, mesenteric fibrosis, pellagra,
Carcinoid Syndrome ... - Pathophysiology ... #Carcinoid #Syndrome ... #Pathophysiology ... Signs #Symptoms #Diagnosis
Functional Dyspepsia - Signs, Symptoms and Pathophysiology
Delayed gastric emptying - Postprandial fullness, nausea, vomiting
Hypersensitivity to gastric
Functional Dyspepsia ... , Symptoms and Pathophysiology ... Epigastric pain #Functional ... #Dyspepsia #Pathophysiology ... gastroenterology #symptoms #diagnosis
Gallstone Diseases
1. Asymptomatic Stones 75%
2. Biliary Pain 20%
3. Acute Cholecystitis 10%
4. Mirizzi's Syndrome < 0.1%
5. Cholangitis/
Acute Cholecystitis ... Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome ... #differential #diagnosis
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... presence of metabolic syndrome ... sought to support a diagnosis ... Areas of diagnostic ... #Differential #Diagnosis
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD)
Irritable bowel syndrome
The criteria must be fulfilled
IV Criteria for diagnosing ... Irritable bowel syndrome ... irritable bowel syndrome ... episodes of intense, acute ... irritable bowel syndrome
Ileal Pouch Disorders - Differential Diagnosis
 • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
- Differential Diagnosis ... Efferent limb syndrome ... Afferent limb syndrome ... Inflammatory polyps • Functional ... #Differential #Diagnosis
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Pancreatic atrophy, Acute ... Shwachman-Diamond syndrome ... Irritable bowel syndrome ... #differential #diagnosis