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
Irritable Bowel Syndrome ... (IBS) - Pathophysiology ... functional somatic syndromes ... Pregabalin #IBS ... #Pathophysiology
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... - Hepatorenal Syndrome ... #Cirrhosis #Pathophysiology
Carcinoid Syndrome - Pathophysiology, Signs and Symptoms
Symptoms: Flushing, diarrhea, palpitations, bronchospasm
Complications: Carcinoid heart, mesenteric fibrosis, pellagra,
Carcinoid Syndrome ... - Pathophysiology ... #Carcinoid #Syndrome ... #Pathophysiology
Crohn's Disease - Surgical Options
 - Stricturoplasty
 - Resection
 - Colectomy
 - Proctocolectomy

#Crohns #Disease #Surgical #intervention
gastroenterology #IBD
Inflammatory Bowel Disease (IBD) Diet Recommendations:
Crohn's Disease:
 • Increase: Vegetables, Fruits
 • Decrease: Saturated and trans
Bowel Disease (IBD ... Bowel #Disease #IBD
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Checklist for Adult IBD ... Depression check #IBD
Ulcerative Colitis - Surgical Options
 • Proctocolectomy - Ileostomy: ileum is attached to an external bag
Ileostomy: ileum is ... Small intestine is ... gastroenterology #IBD
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... Algorithm Bubble echo is ... nail on the dx is ... If <15 it is a simple ... Hepatopulmonary #Syndrome
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
insertion into the BD ... further cannulation is ... tract of the MPD & CBD ... papilla or distort its ... ST upward (the BD
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
100% Re-bleeding Ib