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 ... Histology: Persistent eosinophilia ... Histology: Reduced eosinophilia ... score < 2 #Eosinophilic ... #Esophagitis #EoE
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis ... EoE) - Treatment Algorithm ... directed #EoE #Eosinophilic ... #Esophagitis #Treatment ... #Algorithm #management
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... #EREFS #EoE #Eosinophilic ... #Esophagitis #Endoscopic
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 ... EoE #Refractory #Eosinophilic ... #Esophagitis #Management
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
of Esophageal Eosinophilia ... reflux disease • Eosinophilic ... reactions • Pill esophagitis ... • Stasis esophagitis ... #Eosinophilic #
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
liver disease algorithm ... patients with NAFLD ... calculation of a FIB4 or NAFLD ... disease; NFS, NAFLD ... #algorithm #Referral
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... a diagnosis of NAFLD ... dehydrogenase; NAFLD ... LFTs #Abnormal #Algorithm
NASH/NAFLD - Liver Biopsy Indications Algorithm

#NASH #NAFLD #Liver #Biopsy #Indications #Algorithm #diagnosis #hepatology
NASH/NAFLD - Liver ... Biopsy Indications Algorithm ... #NASH #NAFLD ... #Indications #Algorithm
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
NAFLD Diagnosis ... Algorithm Two-step ... diagnostic strategy for NAFLD ... systems- FIB4, NAFLD ... #Diagnosis #Algorithm
Algorithm for noninvasive evaluation of patients with suspected NAFLD

https://www.gastrojournal.org/article/S0016-5085(19)30051-4/fulltext

#NAFLD #Algorithm #assessment #evaluation #diagnosis #hepatology #noninvasive
Algorithm for noninvasive ... with suspected NAFLD ... 4/fulltext #NAFLD ... #Algorithm #assessment