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
patients with cirrhosis ... Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Carcinoma (HCC) in Cirrhosis ... - Management Algorithm ... transplantable HCC, End-stage ... Carcinoma #HCC #Cirrhosis ... #Management #Algorithm
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary Cirrhosis ... - Diagnosis Algorithm ... after pregnancy Diagnose ... Primary #Biliary #Cirrhosis ... #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 No ... Variceal #Screening #Algorithm ... #EGD #varices #
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... sought to support a diagnosis ... Areas of diagnostic ... LFTs #Abnormal #Algorithm ... #Differential #Diagnosis
Primary Biliary Cirrhosis (PBC) - Diagnosis Algorithm

#Primary #Biliary #Cirrhosis #PBC #Diagnosis #Algorithm #hepatology
Primary Biliary Cirrhosis ... (PBC) - Diagnosis ... Algorithm #Primary ... #Biliary #Cirrhosis ... #PBC #Diagnosis
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... the diagnosis and ... Patients with cirrhosis ... hemochromatosis #algorithm ... #diagnosis #management
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... decision algorithm ... Metaplasia #GIM #diagnosis
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm
Low Suspicion:
    ≤ 1 feature of
Disease (NAFLD) - Diagnosis ... Algorithm Low ... family history of cirrhosis ... family history of cirrhosis ... #Algorithm #hepatology
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
NAFLD Diagnosis ... Algorithm Two-step ... diagnostic strategy ... 1st step: - Clinical ... #Algorithm #hepatology