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 differential hepatology antibiotic dili druginduced egd endoscopy gallstone gastroenterology indications injury liver liverinjury management severe
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe ... biliary obstruction ... hepatitis - Wilson disease ... cholangitis ... #Causes #Differential
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Gallstone Diseases ... Biliary Pain 20% ... Acute Cholecystitis ... Cholangitis/ Pancreatitis ... differential #diagnosis #causes
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... for alternative causes ... Alcohol-related liver disease ... cholangitis, Primary ... dechallenge • Acute
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... mediastinal cysts - Biliary ... obstruction without cholangitis ... GI tract) - Biliary ... congenital heart disease
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