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
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
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
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Gradient Ascites is ... hepatic sinusoid is ... fluid • Ascites is ... oncotic pressure Low ... Matherly @liverprof #Diagnosis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... Ciprofloxacin is ... considered if: Low ... Peritonitis #SBP #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
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