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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management gastroenterology diagnosis hepatology differential treatment cirrhosis liver causes primary egd endoscopy nafld pathophysiology pbc disease eoe eosinophilic ercp indications
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... presence of metabolic syndrome ... include extrahepatic biliary ... LFTs #Abnormal #Algorithm
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Biliary Pain 20% ... Mirizzi's Syndrome ... Fistula/Bouveret's Syndrome
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... #PBC #Primary #Biliary ... Cirrhosis #Diagnosis #Algorithm
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... disease (Budd-Chiari syndrome
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 Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
hepatitis - Acute biliary ... Hemochromatosis - Primary biliary
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... Benign/malignant biliary ... obstruction, Primary biliary ... Injury #Diagnosis #Algorithm
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... and Management Algorithm ... functional somatic syndromes ... Irritable #Bowel #Syndrome ... Diagnosis #Management #Algorithm
Primary Biliary Cirrhosis - Pathophysiology Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish Epigentics Risk
Primary Biliary ... inflammation and biliary ... #PBC #Primary #Biliary
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... HPS) Diagnosis Algorithm ... Hepatopulmonary #Syndrome ... HPS #Diagnosis #Algorithm
Causes of Small Bowel Bleeding - Differential Diagnosis Common Causes: • Under age 40 years: Inflammatory Bowel
rubber bleb nevus syndrome ... Osler-Weber-Rendu syndrome ... Plummer-Vinson syndrome ... Ehlers-Danlos syndrome ... , Inherited syndromes
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