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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Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis (EoE ... Present #EREFS #EoE ... gastroenterology #EGD
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Cirrhosis - Management Algorithm ... transplantable HCC, End-stage ... Cirrhosis #Management #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... LFTs #Abnormal #Algorithm ... Liver #Enzymes #Differential
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Eosinophilic Esophagitis (EOE ... ) Management Algorithm ... elimination Continued EoE ... #EoE #Refractory ... Esophagitis #Management #Algorithm
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis (EoE ... ) - Treatment Algorithm ... testing directed #EoE ... Esophagitis #Treatment #Algorithm
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... Variceal #Screening #Algorithm ... #EGD #varices #
Eosinophilic Gastroenteritis Management Algorithm
 - PPI x 8 weeks
 - Dietary therapy with Empiric Elimination or
Gastroenteritis Management Algorithm ... x 4-8 wks #EoE ... Gastroenteritis #Management #Algorithm
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Eosinophilia (EoE ... ) - Differential ... wasting syndrome #Eoe ... #Eosinophilic #Differential