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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Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
Screening and surveillance ... - No for screening ... platelets >150 Liver ... varices #Variceal #Screening ... #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
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 ... #diagnosis #management
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
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... cm, Preserved liver ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
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
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 ... Cirrhosis #diet #management
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver ... disease algorithm ... with NAFLD or liver ... Disease #NAFLD #algorithm ... #Referral #Management
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis - Management ... Algorithm 1. ... can be bridge to Liver ... Alcoholic #Hepatitis #Management ... #Algorithm #treatment