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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Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
Primary Biliary ... Cirrhosis - Pathophysiology ... T-cell mediated BEC injury ... Cholestasis #PBC #Primary ... #Biliary #Cirrhosis
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
Liver Consult Primer ... - Guide to calling ... Gl History - Cirrhosis ... endoscopy & endoscopist ... Consultation #GIConsult #Primer
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
Severe Acute Liver Injury ... hepatitis - Acute biliary ... Hemochromatosis - Primary ... biliary cholangitis ... Differential #Hepatology #Diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... with PBC #PBC #Primary ... #Biliary #Cirrhosis ... #Diagnosis #Algorithm
Primary Biliary Cirrhosis (PBC) - Diagnosis Algorithm

#Primary #Biliary #Cirrhosis #PBC #Diagnosis #Algorithm #hepatology
Primary Biliary ... Cirrhosis (PBC) ... - Diagnosis Algorithm ... #Primary #Biliary ... #Cirrhosis #PBC
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... congenital - Primary ... biliary cirrhosis ... 14 percent) #Diagnosis ... Differential #Hepatology #Cirrhosis
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... obstruction, Primary ... biliary cholangitis ... , Primary sclerosing ... #Diagnosis #Algorithm
Primary Biliary Cirrhosis - Management
A. Initiate therapy 
 - Initiate 1st line therapy with UDCA (13-15
Primary Biliary ... Cirrhosis - Management ... disease #PBC #Primary ... #Biliary #Cirrhosis ... #Management #Treatment