Dr. Joel Lavine

Infant cholestasis is a disease that affects newborn newborns. It is caused by a fluid buildup in the blood. These fluids are normally drained by the kidneys. However, if the kidneys aren't working properly, Infant cholestasis  can lead to difficulties. Neonatal cholestasis, often known as neonatal hepatitis, is a potentially fatal illness in neonates. This condition produces conjugated hyperbilirubinemia and arises within the first three months of birth. Excessive itching, depigmented feces, and weight loss are all signs of newborn cholestasis. It can be caused by a number of metabolic and viral disorders. Special infant formulae and a nutritional supplement may be suggested for a newborn with neonatal cholestasis. The majority of cases of newborn cholestasis were previously classed as idiopathic. Physicians can now diagnose various syndromes because to improved diagnostic tools and a better understanding of cholestatic illness. A child with a hereditary abnormality of bile acid p...

Gastroenterology focuses on the digestive system, which includes the esophagus, stomach, small intestine, liver, and gallbladder. It consists of therapy for conditions including irritable bowel syndrome (IBS) and esophageal cancer. In addition, medication and surgery may be used to treat these disorders. It may include endoscopic inspections of the stomach and small and large intestines. Hepatology is a medical specialty that focuses on diagnosing and treating liver disorders. Hepatologists assist patients with diagnosing, preventing, and treating hepatitis, liver cancer, cirrhosis, and other hepatic illnesses. Hepatologists can treat several hepatic problems in both adults and children. They also collaborate with primary care physicians to oversee the health of their patients. Hepatologists might find employment at hospitals, intensive care units, or specialized liver centres. To become a hepatologist, one must finish medical school, further training, and certification. Hepatologists...

The requirements for becoming a medical expert witness vary depending on the specialty. These experts offer advice on a variety of topics, including dentistry, neurology, orthopedics, pharmacology, pain management, and more. They can also provide reports based on independent medical examinations. They may also give testimony on general surgery or cardiology issues. The qualifications for being a medical expert witness are based on expertise and subject matter knowledge. A physician expert witness should ideally be fully trained in their specialty and hold a current, unrestricted license. They must also be a diplomat of a recognized specialty board. Finally, the medical expert witness should be well-versed in the specialty and have access to educational materials on expert witness testimony. Aside from experience and training, a medical expert witness should be able to evaluate medical facts objectively and thoroughly. Their testimony must be based on accepted practice standards and th...

 Blood tests are the most often used approach for diagnosing viral hepatitis. However, biopsies are also used to diagnose the condition. Furthermore, urine samples include viral hepatitis markers rarely seen in blood. They may, however, aid in diagnosing some types of hepatitis. Although not optimal for identifying viral hepatitis, the urine test can be helpful in some viral strains. Viral hepatitis symptoms might include stomach discomfort, nausea, and jaundice (a yellow discoloration of the skin and eyes). Furthermore, the liver might become inflamed, causing the patient to have joint discomfort and fever. Finally, cirrhosis or hepatocellular cancer might occur in more advanced situations. As a result, viral hepatitis should be addressed carefully and treated appropriately. If you have chronic or continuous symptoms, you should immediately see your doctor. Early detection increases your chances of a quick recovery. Our infectious disease specialists at ID Care are educated in di...

When a child presents with symptoms of metabolic liver disease , the correct diagnosis must be made with care. Symptoms may lack specificity, making diagnosis challenging. Laboratory tests may reveal abnormalities, such as elevated liver enzymes. A liver biopsy may be needed to confirm the diagnosis. These tests should be performed as early in the illness as possible. Table 32-4 lists the recommended screening tests for metabolic liver disease. Patients who develop cholestasis, jaundice, progressive neuromuscular disease, or regression of developmental milestones should be evaluated for metabolic liver disease. Ascites and hepatomegaly are additional symptoms. In addition, a liver biopsy can be performed to rule out other causes of the disease, detect storage diseases, and monitor the activity of specific enzymes. There are three primary metabolic liver diseases. Primary hyperoxaluria (AR) type 1 is characterized by systemic oxalate crystal deposition. This condition is caused by a liv...

If you are curious about which pharmaceutical firms are the greatest, you should know that the ranking is determined by the opinions of medical specialists, who evaluate pharmaceutical businesses based on their reputation. They evaluate each business based on its overall impression, expertise, dependability and credibility. Let's examine some of the most recognizable names in the pharmaceutical industry . Merck has a lengthy history as one of the top pharmaceutical firms, and last year the corporation made 46.8 billion dollars in revenue. It just reported worldwide sales for the first quarter of 2020 of $12,100,000,000, an 11% rise over the same period last year. It also reported sales of $10.9 billion and $12.6 billion for the second and third quarters of 2020, respectively. However, the company reported that COVID-19, a virus that causes diarrhea, had a negative influence on revenues during the first quarter of 2020. Despite its scale, Merck has been entangled in controversy and ...

John Wiley & Sons publishes Hepatology, a peer-reviewed medical journal, monthly. It was founded in 1981 and is a member journal of the American Association for the Study of Liver Diseases . Its impact factor measures the quality of published articles. In general, the higher the impact factor, the more prestigious the article. Hepatology's impact factor is determined by the number of citations per article published in the journal. As of 2021, its impact factor is 9.46. It grew by 0.42 percent over the previous year. A journal's impact factor is a measure of its productivity and citation impact. This figure is derived from Scopus data. Journals with more citations, on average, have a higher impact factor than journals with fewer citations. Citation practices, on the other hand, differ by journal and can have an impact on a journal's impact factor. Scientific articles, for example, tend to cite only other scientific articles, whereas clinical articles cite both clinical a...