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 abnormal acute antibiotic cirrhosis dili druginduced egd endoscopy enzymes gallstone gastroenterology indications injury lfts liverinjury management prophylaxis severe
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe ... Acute Liver Injury ... hepatitis - Wilson disease ... cholangitis ... #Differential #
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... for alternative causes ... disease, Hepatic ... cholangitis, Primary ... sclerosing cholangitis
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% ... Cholangitis/ Pancreatitis ... #differential # ... diagnosis #causes
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... Nonalcoholic fatty liver ... disease - Wilson ... #Diagnosis #Differential ... Hepatology #Cirrhosis #Causes
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 Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
mediastinal cysts - Biliary ... obstruction without cholangitis ... - Patient s/p liver ... GI tract) - Biliary ... congenital heart disease
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
tests algorithm ... include extrahepatic biliary ... disease; AST, aspartate ... disease; T2DM, ... #Enzymes #Differential
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