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
Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... and Sjögren's syndrome ... VitaminB12 #deficiency #low ... #differential #diagnosis
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Prioritizing Tool • Low ... ultrasound) • Muscle function ... muscle mass and function ... • Prescribe low ... management #hepatology #pathophysiology
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
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
Causes of a low ... Pancreatic atrophy, Acute ... Irritable bowel syndrome ... fecal #elastase #low ... #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