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 management differential causes liver cirrhosis egd gastric endoscopy eus pathophysiology pbc primary acute eoe eosinophilic ercp esophageal
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... PBC if 2/3 criteria ... #PBC #Primary #Biliary ... #Cirrhosis #Diagnosis
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
metabolic syndrome criteria ... sought to support a diagnosis ... Areas of diagnostic ... include extrahepatic biliary ... #Differential #Diagnosis
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
hepatitis - Acute biliary ... 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% ... #differential #diagnosis
CHILD PUGH SCORE #Diagnosis #Hepatology #Cirrhosis #ChildPugh #Score #Criteria #Class
PUGH SCORE #Diagnosis ... ChildPugh #Score #Criteria
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
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... 14 percent) #Diagnosis
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 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
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 ... Liver #Injury #Diagnosis
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus 1) Ensure Hiatus Hernia Is Recognised By
Prague Criteria ... Junction #Prague #Criteria ... Barretts #Esophagus #diagnosis
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