Keith Siau
@drkeithsiau
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GI doctor with interests in endoscopy, gut health, liver & medicine. 💜 #GITwitter #LiverTwitter #MedEd . Occasional silliness. Siau rhymes with meow 😺
Cornwall, United Kingdom
Joined April 2012
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An unusual cause of bowel obstruction. What’s the diagnosis?
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Stool cultures of a patient with acute diarrhoea showing “smiling face” organisms. What’s the diagnosis?
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Self-endoscopy done effortlessly by Professor Majidah Bukhari (video playback ⏩ x2)
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For patients with reflux, sleeping on the left side can be as effective as a PPI 💡
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Sleeping on the left side is one of the best tips for reflux that all patients should know about.
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Urine sample with an unusual colour. What’s the diagnosis?
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How to remember liver segments using your hand 👊 (via Radiopaedia)
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An unusual cloud formation - what does this remind you of?
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Wishing all of you wonderful people here a very merry GI Christmas 😅🎄
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Omeprazole, lansoprazole, pantoprazole, rabeprazole, esomeprazole and vonoprazan 😅
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Elderly woman with “leopard print” mucosa on colonoscopy. What is the diagnosis?
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Tumour markers - helpful summary but which ones are missing?
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Sure. The car has melaena.
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This rash is not a tattoo but caused by a rare phenomenon. What’s the diagnosis?
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Nails of a patient with gastric cancer. What’s going on here?
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Appearance of the liver during laparoscopy in a patient with chronic abdominal pain. What’s the diagnosis?
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Moral of the story - never dismiss a colleague’s sixth sense, a battle-hardened end product that has been refined through many years of experience. This gut feeling outperforms any blood test or warning score.
This mantra saved me from a near miss today 🙏
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Absorption of water and nutrients within the human GI tract 📍
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For the first time in my career, I gave a patient a lift home today. I might well get into trouble for this, but there was no other option and sometimes common sense and humanity has to shine through.
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Slit lamp examination of the eye showing movement of red blood cells🩸🤩
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Grateful to my family for this GI-themed birthday cake! Only fair that I share this with all of you here - enjoy! 🎂😅
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A lesson in life.
Call from a colleague today…
“Keith, I’ve got a 80 year old man with jaundice and fever from a large 2cm gallstone wedged in the bile duct. He’s on anticoagulation for PE. I just have a bad feeling about him and I think he needs an ERCP today.”
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Silver stool is a sign of cancer at the ampulla of Vater (Thomas’ sign). The pale stool from biliary obstruction mix with black stool from melaena to form this spectacular colour
#GITwitter
#MedEd
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Blood sample of an anaemic patient. What’s the diagnosis?
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This is a mnemonic for a condition associated with rheumatoid arthritis - what is the syndrome?
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Fireworks appearance in the eye of a cat owner with fevers, enlarged spleen and blurred vision. What’s the diagnosis?
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What is the name of this sign that should not be missed in a patient with abdominal pain?
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First day of medical school vs completing medical school 😅
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Lumbar puncture on a patient with a headache. What’s the diagnosis?
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What do you think of this tongue in a young person with fever and a rash?
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Endoscopic finding in the stomach. What’s the diagnosis?
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Unusual appearance of the abdomen. What’s the diagnosis?
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Patient with lymphoma undergoes abdominal surgery for pain and nausea. What’s the diagnosis?
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