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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gastroenterology hepatology algorithm differential causes management esophageal liver cirrhosis egd injury pbc primary barretts black criteria disorders endoscopy functional laboratory
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe Acute ... hepatitis - Acute ... biliary obstruction ... Hemochromatosis - Primary biliary ... Differential #Hepatology #Diagnosis
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% ... Acute Cholecystitis ... #differential #diagnosis
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... Braghirol @KBrag_MD #Acute ... Necrosis #black #esophagus ... #diagnosis #management
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy Dr. Joaquín Berrueta Mezzera @DrJBerrueta #Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black Esophagus ... DrJBerrueta #Acute ... Necrosis #Black #Esophagus
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 Management of Jackhammer Esophagus or Esophageal Spasm Step 1: Assess the severity of the motility disturbance Step 2:
of Jackhammer Esophagus ... Consider further diagnostics ... #Jackhammer #Esophagus
Barrett's Esophagus (BE) Documentation 1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... (histological diagnosis ... BE - distal esophagus ... #Barretts #Esophagus ... Documentation #EGD #diagnosis
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... Benign/malignant biliary ... obstruction, Primary biliary ... dechallenge • Acute ... Liver #Injury #Diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... after pregnancy Diagnose ... #PBC #Primary #Biliary ... #Cirrhosis #Diagnosis
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus 1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy
Focused evaluation algorithm for acute liver injury #Liver #Injury #Acute #Evaluation #Algorithm #Diagnosis #Hepatology
algorithm for acute ... Liver #Injury #Acute ... Evaluation #Algorithm #Diagnosis
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