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 causes differential pathophysiology treatment albumin antibiotic black bowel cannulation cirrhosis difficult dili diseases druginduced dyspepsia egd endoscopy
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
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for ... Albumin for Management ... ascites removed • Acute ... terlipressin #Albumin #Indications ... #Management #Cirrhosis
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... duration), Several medications ... Benign/malignant biliary ... dechallenge • Acute ... Liver #Injury #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 ... black #esophagus #diagnosis ... #management #gastroenterology
Difficult Selective Biliary Cannulation (SBC) Factors associated with difficult SBC: - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... site - OTHERS: biliary ... #Selective #Biliary ... gastroenterology #management ... #diagnosis
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... and Management ... pylori infection, Acute ... months before diagnosis ... #Management #algorithm
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
B - Treatment Indications ... immunosuppression • Acute ... > 3 mg/dL) or acute ... HBV #Treatment #Indications ... #management #hepatology
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Pathophysiology, Diagnosis ... and Management ... factors: Previous acute ... common: Food, Acute ... #Management #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
mediastinal cysts - Biliary ... GI tract) - Biliary ... Endoscopy #EGD #Indications ... Gastroenterology #Management
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