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Management of Immune-Related Adverse Events for Patients Receiving Checkpoint Inhibitor Therapy
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Overview of irAEs
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Immune-Related Pneumonitis
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Case Presentation: A 65-Year-Old Woman With Cough and Shortness of Breath
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General Management Principles
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General Management Principles (cont)
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Pneumonitis
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Grading Pneumonitis
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Incidence of Pneumonitis
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Timing of Onset Varies
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Radiologic Features Vary
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Case (cont)
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Variable Pathologic Features
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Early Management Algorithm
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Immune-Related Toxicity Guidelines
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Case (cont)
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Ongoing Challenges With Anti-PD-1/PD-L1-Related Pneumonitis
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Optimizing Immunosuppression for Anti-PD-1/PD-L1 Pneumonitis
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Immune-Related Hepatitis
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Case Presentation: A 55-Year-Old Woman With Elevated LFTs
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Overview of Immune-Related Hepatitis
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Screening for Immune-Related Hepatitis
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Diagnosing Immune-Related Hepatitis
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Grading Hepatitis Severity
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Management of Grades 1 and 2 Hepatitis
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Management of Grades 3 and 4 Hepatitis
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Return to the Case
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Steroid-Refractory Hepatitis
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Case Conclusion
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Immune-Related Colitis
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Case Presentation: A 54-Year-Old Man With Diarrhea
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How to Proceed?
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Grading Diarrhea/Colitis
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Working With Uncertainties
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Return to the Case
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Managing Diarrhea/Colitis
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Notes on Tapering Steroids
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Return to the Case
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Return to the Case (cont)
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Infliximab
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Considering Endoscopy
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Moving Forward
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Overview of GI Toxicity
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When Do GI irAEs Occur?
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Abbreviations
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Abbreviations (cont)
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