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 management eoe algorithm diagnosis hepatology gastroenteritis indications albumin alcoholic calling causes cirrhosis classification consultation corticosteroids differential dili druginduced egd
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis ... Histology: Persistent eosinophilia ... Histology: Reduced eosinophilia ... score < 2 #Eosinophilic ... #Esophagitis #EoE
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... directed #EoE #Eosinophilic ... #Esophagitis #Treatment
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Refractory Eosinophilic ... Esophagitis (EOE ... Algorithm Initial treatment ... EoE #Refractory #Eosinophilic ... #Esophagitis #Management
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... #EREFS #EoE #Eosinophilic ... #Esophagitis #Endoscopic
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis • Gastroesophageal reflux disease • Eosinophilic gastrointestinal
of Esophageal Eosinophilia ... reflux disease • Eosinophilic ... reactions • Pill esophagitis ... • Stasis esophagitis ... #Eosinophilic #
The Gastroenterology Consult Primer Guide to Calling a GI Consult HPI: - Start with reason for consult
consult - I-liner ... Focus on prior GI/Liver ... last meal - Treatment ... GregoryTBrennan #Liver
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease Mild: • Trial of PPI • Trial
Eosinophilic Gastroenteritis ... : Treatment Options ... scan #EoE #Eosinophilic ... Gastroenteritis #Treatment
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Indications Treatment ... ), normal ALT Treatment ... infection with severe liver ... mg/dL) or acute liver
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
paracentesis (>5 liter ... ) - 8g per liter ... Management #Cirrhosis #treatment
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... non-essential drug/HDS treatments ... Alcohol-related liver ... cholangitis Consider liver ... #DrugInduced #Liver
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