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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Peptic Stricture Management Algorithm

Simple strictures (<2cm, focal, straight): PPI
Complex/refractory (>2cm, angulated, irregular): PPI → dilatation →
Peptic Stricture ... Management Algorithm ... focal, straight): PPI ... angulated, irregular): PPI ... #Stricture #Management
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 sclerosing ... cholangitis Consider
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... Algorithm - Step ... #Acid #Reflux #GERD ... #Management #Algorithm ... #ppi
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
kg over 4 days, Urinary ... >6 mmol/L • Hepatic ... Ascites #diagnosis #management ... #algorithm #treatment