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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Ammonia Levels & Hepatic Encephalopathy in Patients with Chronic Liver Disease 
Choosing Wisely: Things We Do
Patients with Chronic Liver ... ammonia-levels-and-hepatic-encephalopathy-patients-known #Ammonia #Testing ... Diagnosis #Hepatology #EBM
Shotgun Laboratory Testing for Severe Acute Livery Injury

https://www.journalofhospitalmedicine.com/jhospmed/article/143598/hospital-medicine/ammonia-levels-and-hepatic-encephalopathy-patients-known

#TWDFNR #Testing #Laboratory #LiverInjury #Diagnosis #Workup #Hepatology #EBM #ChoosingWisely
Shotgun Laboratory Testing ... for Severe Acute Livery ... ammonia-levels-and-hepatic-encephalopathy-patients-known #TWDFNR #Testing ... Workup #Hepatology #EBM
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Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... decision for repeat testing ... #Algorithm #Hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... Stepwise Diagnosis Algorithm ... duration), Several medications ... HBV, HCV, HEV, EBV ... Injury #Diagnosis #Algorithm
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... symptoms, elevated liver ... <45% and SF is normal ... elevated, HFE gene testing ... hemochromatosis #algorithm
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
B - Treatment Indications ... (>10^6 IU/mL), normal ... infection with severe liver ... mg/dL) or acute liver ... HBV #Treatment #Indications
NASH/NAFLD - Liver Biopsy Indications Algorithm

#NASH #NAFLD #Liver #Biopsy #Indications #Algorithm #diagnosis #hepatology
NASH/NAFLD - Liver ... Biopsy Indications ... Algorithm #NASH ... #NAFLD #Liver # ... Biopsy #Indications
Probiotics in Gastrointestinal Diseases

#Probiotics #ebm #indications #management #algorithm #gastroenterology
#Probiotics #ebm ... #indications #management ... #algorithm #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Patient s/p liver ... transplant getting ... (Unless in the setting ... Endoscopy #EGD #Indications