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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management gastroenterology algorithm hepatology diagnosis eoe eosinophilic causes cirrhosis differential hepatitis acute alcoholic anemia colitis gastroenteritis indications liver microscopic pouchitis
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... #Eosinophilic #Esophagitis ... #Treatment #Algorithm
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... Algorithm Initial treatment ... steroids Initial treatment ... trials, Combination treatment ... #Eosinophilic #Esophagitis
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... formulations for treatment ... #Eosinophilic #Esophagitis
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis ... #Eosinophilic #Esophagitis
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... #Eosinophilic #Esophagitis
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
Inflammatory: Reflux esophagitis
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Pseudomembranous esophagitis
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Indications Treatment ... ), normal ALT Treatment ... history of HCC Treatment ... HepatitisB #HepBV #HBV #Treatment
Alcoholic Hepatitis Treatment Algorithm #Alcoholic #Hepatitis #Treatment #Algorithm #Management #hepatology
Alcoholic Hepatitis Treatment ... Alcoholic #Hepatitis #Treatment
An algorithm of diagnostic and therapeutic recommendations for patients with microscopic colitis. #Microscopic #Colitis #Lymphocytic #Collagenous #Algorithm
Algorithm #Management #Treatment
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