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 ... Histology: Persistent eosinophilia ... Histology: Reduced eosinophilia ... score < 2 #Eosinophilic
Focused evaluation algorithm for acute liver injury

#Liver #Injury #Acute #Evaluation #Algorithm #Diagnosis #Hepatology
Focused evaluation algorithm ... for acute liver ... injury #Liver ... Acute #Evaluation #Algorithm
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Eosinophilic #
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 ... #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 ... #Eosinophilic #
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Eosinophilic Gastroenteritis ... as CT scan #EoE ... #Eosinophilic #
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Cirrhosis - Management Algorithm ... cm, Preserved liver ... cm, Preserved liver ... HCC, End-stage liver ... Cirrhosis #Management #Algorithm
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
of Esophageal Eosinophilia ... (EoE) - Differential ... reflux disease • Eosinophilic ... wasting syndrome #Eoe ... #esophagitis #Eosinophilic
Eosinophilic Gastroenteritis Management Algorithm
 - PPI x 8 weeks
 - Dietary therapy with Empiric Elimination or
Eosinophilic Gastroenteritis ... Management Algorithm ... x 4-8 wks #EoE ... #Eosinophilic # ... Gastroenteritis #Management #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... response to abnormal liver ... derangement of liver ... LFTs #Abnormal #Algorithm