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 eosinophilic gastroenterology hepatology management biliary pbc treatment cholangitis cirrhosis refractory ascites cancer causes classification corticosteroids differential dili druginduced egd
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
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
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... with PBC #PBC #Primary ... Cirrhosis #Diagnosis #Algorithm
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... biliary obstruction, Primary ... biliary cholangitis, Primary ... Injury #Diagnosis #Algorithm
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... (EoE) - Topical ... for treatment of EOE ... #Eosinophilic #Esophagitis ... #EoE #Topical #
Primary Biliary Cirrhosis (PBC) - Diagnosis Algorithm #Primary #Biliary #Cirrhosis #PBC #Diagnosis #Algorithm #hepatology
Primary Biliary ... PBC) - Diagnosis Algorithm ... #Primary #Biliary ... PBC #Diagnosis #Algorithm
Primary Sclerosing Cholangitis (PSC) - Cancer Surveillance Algorithm #PSC #Primary #Sclerosing #Cholangitis #Cancer #Surveillance #Algorithm #screening #hepatology
Primary Sclerosing ... Cancer Surveillance Algorithm ... #PSC #Primary ... #Surveillance #Algorithm
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