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 hepatology gastroenterology causes biliary cirrhosis liver management pbc nafld nonalcoholic ascites cholangitis deficiency fatty low referral screening treatment abdominalpain
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... associated autoimmune disease ... of autoimmune disease ... with PBC #PBC #Primary
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary ... Nonalcoholic fatty liver disease ... - Wilson disease ... Venoocclusive disease ... #Diagnosis #Differential
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 Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
hepatitis - Wilson disease ... Hemochromatosis - Primary ... Acute #Causes #Differential
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... Alcohol-related liver disease ... biliary obstruction, Primary ... biliary cholangitis, Primary ... Injury #Diagnosis #Algorithm
Primary Biliary Cirrhosis - Pathophysiology Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish Epigentics Risk
Primary Biliary ... female-predominant disease ... of autoimmune disease ... Cholestasis #PBC #Primary
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Gallstone Diseases ... #Gallstone #Diseases ... #differential #
Non-alcoholic fatty liver disease algorithm. For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver disease ... algorithm. ... NAFLD or liver disease ... non-alcoholic fatty liver disease ... #NAFLD #algorithm
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
sprue, Whipple's disease ... ulcers, Crohn's disease ... Anemia #Causes #differential
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... alcohol-related liver disease ... non-alcoholic fatty liver disease ... LFTs #Abnormal #Algorithm ... Liver #Enzymes #Differential
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
Liver Consult Primer ... Chronic liver disease ... Consultation #GIConsult #Primer
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