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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Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis ... (EoE) - Spectrum ... /hpf 1-6 eos/hpf ... #Eosinophilic #Esophagitis ... #EoE #Response
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... (EOE) Management ... Algorithm Initial ... #Eosinophilic #Esophagitis ... #Management #Algorithm
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis ... (EoE) - Treatment ... Algorithm Medical ... testing directed #EoE ... #Treatment #Algorithm
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Eosinophilic #Esophagitis
Focused evaluation algorithm for acute liver injury

#Liver #Injury #Acute #Evaluation #Algorithm #Diagnosis #Hepatology
Focused evaluation ... algorithm for acute ... Injury #Acute #Evaluation ... #Algorithm #Diagnosis
Dyspepsia Evaluation Algorithm

#Dyspepsia #diagnosis #Algorithm #evaluation #gastroenterology #epigastric
Dyspepsia Evaluation ... Algorithm #Dyspepsia ... #diagnosis #Algorithm ... #evaluation #gastroenterology
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Eosinophilia (EoE ... reactions • Pill esophagitis ... • Stasis esophagitis ... wasting syndrome #Eoe ... #esophagitis #Eosinophilic
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Hematology consult for evaluation ... as CT scan #EoE
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... LFTs #Abnormal #Algorithm
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... normal, further evaluation ... C282Y homozygote, evaluation ... hemochromatosis #algorithm