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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Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
Causes of Severe ... hepatitis - Acute biliary ... Hemochromatosis - Primary biliary ... Severe #Acute #Causes ... #Differential #Hepatology
Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
Primary Biliary ... Cirrhosis - Pathophysiology ... inflammation and biliary ... #PBC #Primary #Biliary ... #hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
for alternative causes ... liver disease, Hepatic ... Benign/malignant biliary ... presentation: Hepatic ... Diagnosis #Algorithm #hepatology
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
congenital - Primary biliary ... #Differential #Hepatology ... #Cirrhosis #Causes
Hepatic Abscess: Microbiology
Common Pathogens: E. Coli, K. pneumoniae, Staphylococcus aureus, Streptococcus pyogenes
Rare pathogens that can cause
Hepatic Abscess: ... pathogens that can cause ... hepatic abscesses ... #differential #causes ... #liver #hepatology
How a cholangiogram corresponds to liver segments
 - Numbers indicate drained hepatic segments
 - Right anterior
indicate drained hepatic ... cholangiogram #anatomy #Biliary ... #Anatomy #hepatology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
out additional causes ... evaluation for other causes ... If other causes ... hemochromatosis; HIC, hepatic ... diagnosis #management #hepatology
Etiology and Complications of Cirrhosis

#Causes #Complications #Cirrhosis #Differential #Pathophysiology #Hepatology
of Cirrhosis #Causes ... #Differential #Pathophysiology ... #Hepatology
Tweetorial - What's the deal with Ammonia in hepatic encephalopathy?

Aims
Try to answer this question while also
with Ammonia in hepatic ... ebtapper #Ammonia #Hepatic ... Cirrhosis #Tweetorial #Hepatology ... #Pathophysiology
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
prevent or treat hepatic ... diet #management #hepatology ... #pathophysiology