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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hepatology diagnosis management choosingwisely cirrhosis endoscopy gastroenterology twdfnr variceal varices abnormal ammonia antibiotic carcinoma diet differential dili druginduced enzymes hcc
Screening and surveillance of varices in patients with cirrhosis. - No for screening need if platelets
Screening and surveillance ... - No for screening ... platelets >150 Liver ... Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
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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 Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. Step 1: In the patient with
Algorithm regarding ... suggested initial screening ... elevated, HFE gene testing ... should undergo screening ... hemochromatosis #algorithm
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
Cirrhosis - Management Algorithm ... cm, Preserved liver ... cm, Preserved liver ... transplantable HCC, End-stage ... Cirrhosis #Management #Algorithm
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... derangement of liver ... decision for repeat testing ... LFTs #Abnormal #Algorithm
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... Stepwise Diagnosis Algorithm ... HBV, HCV, HEV, EBV ... Alcohol-related liver ... Injury #Diagnosis #Algorithm
Variceal Screening Algorithm in Cirrhosis No varices -> repeat 2-3 years Small varices->repeat 1-2 years unless child
Variceal Screening ... Algorithm in Cirrhosis ... #Variceal #Screening ... #Algorithm #EGD
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Dos and Don’ts Screening ... ) • Advanced liver ... (avoiding long fasting ... effect of long fasting ... patients with liver
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
- Patient s/p liver ... transplant getting ... (Unless in the setting ... Prophylaxis #Endoscopy #EGD
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