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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hepatology diagnosis gastroenterology algorithm management differential causes cirrhosis indications pathophysiology pbc primary treatment ercp ibd nafld acute bowel deficiency ebm
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
of Severe Acute Liver ... hepatitis - Acute biliary ... - Drug-Induced liver ... hepatitis - Wilson disease ... Hemochromatosis - Primary biliary
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... Nonalcoholic fatty liver ... disease - Wilson ... disease Congestive ... Venoocclusive disease
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 Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... associated autoimmune disease ... of autoimmune disease ... Liver biopsy findings ... #PBC #Primary #Biliary
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... Alcohol-related liver ... disease, Hepatic ... Benign/malignant biliary ... obstruction, Primary biliary
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... derangement of liver ... include extrahepatic biliary ... disease; AST, aspartate ... disease; T2DM,
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
mediastinal cysts - Biliary ... - Patient s/p liver ... GI tract) - Biliary ... congenital heart disease
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... Focus on prior Liver ... MELD - Chronic liver ... disease work up ... - Liver US
Primary Biliary Cirrhosis - Pathophysiology Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish Epigentics Risk
Primary Biliary ... female-predominant disease ... of autoimmune disease ... inflammation and biliary ... #PBC #Primary #Biliary
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Gallstone Diseases ... Biliary Pain 20% ... #Gallstone #Diseases
Non-alcoholic fatty liver disease algorithm. For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver ... disease algorithm ... disease of unknown ... disease; NFS, NAFLD ... NonAlcoholic #FattyLiver #Disease
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