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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diagnosis hepatology gastroenterology liver abnormal acute bleeding cannulation cholangitis cirrhosis difficult dili diseases druginduced enzymes gallstone injury lfts liverinjury management
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe ... hepatitis - Acute biliary ... Hemochromatosis - Primary biliary ... Severe #Acute #Causes ... #Differential #
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Biliary Pain 20% ... Gallstone #Diseases #differential ... #diagnosis #causes
Difficult Selective Biliary Cannulation (SBC) Factors associated with difficult SBC: - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... site - OTHERS: biliary ... papilla or duodenum, malignancy ... #Selective #Biliary ... SBC #Difficult #ercp
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... for alternative causes ... Cholestatic: Benign/malignant ... biliary obstruction ... , Primary biliary
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... #Diagnosis #Differential ... Hepatology #Cirrhosis #Causes
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 Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... include extrahepatic biliary ... obstruction due to malignancy ... LFTs #Abnormal #Algorithm ... Liver #Enzymes #Differential
Algorithm for the Diagnosis of Primary Biliary Cholangitis (PBC). US, ultrasound; MRCP, magnetic resonance cholangiopancreatography; ALP,
Algorithm for the ... Diagnosis of Primary Biliary ... US, ultrasound; MRCP ... antibodies #Primary #Biliary ... Cholangitis #PBC #Algorithm
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
Causes of Small ... Bowel Bleeding - Differential ... Diagnosis Common Causes ... Peutz-Jeghers), Malignant ... SmallBowel #Bleeding #Differential
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