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 ... common: Food, Acute ... #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 - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia - Pathophysiology ... , Diagnosis and ... pylori infection, Acute ... months before diagnosis ... Functional #Dyspepsia #Pathophysiology
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
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... (HPS) Diagnosis ... nail on the dx is ... Hepatopulmonary #Syndrome ... #HPS #Diagnosis
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
of pathway and is ... presence of metabolic syndrome ... sought to support a diagnosis ... Areas of diagnostic ... #Differential #Diagnosis
Rome IV Criteria for the Irritable Bowel Syndrome.

#Diagnosis #PrimaryCare #IBS #IrritableBowelSyndrome #RomeIV #Criteria
Irritable Bowel Syndrome ... #Diagnosis #PrimaryCare ... #IBS #IrritableBowelSyndrome
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
Celiac Disease - Diagnosis Algorithm
IgA TTG has high sensitivity and specificity of ~ 98% and is
Celiac Disease - Diagnosis ... and Williams’ syndromes ... celiac in pts with IBS-D ... not establish a diagnosis ... Celiac #Disease #Diagnosis
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD)
Irritable bowel syndrome
The criteria must be fulfilled
Irritable bowel syndrome ... irritable bowel syndrome ... episodes of intense, acute ... months; the pain is ... irritable bowel syndrome