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 ... platelets >150 Liver ... 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 ... Liver biopsy findings ... Primary #Biliary #Cirrhosis ... #Diagnosis #Algorithm
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... symptoms, elevated liver ... Patients with cirrhosis ... A liver biopsy can ... hemochromatosis #algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... evaluation of the clinical ... /or suspicious clinical ... the remainder, a clinical ... LFTs #Abnormal #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 #
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm
Low Suspicion:
    ≤ 1 feature of
Non-Alcoholic Fatty Liver ... NAFLD) - Diagnosis Algorithm ... family history of cirrhosis ... family history of cirrhosis ... NonAlcoholic #Fatty #Liver
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
NAFLD Diagnosis Algorithm ... 1st step: - Clinical ... inspection of liver ... NonAlcoholic #Fatty #Liver ... NAFLD #Diagnosis #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
or PEG-J) - Cirrhosis ... - Patient s/p liver ... Prophylaxis #Endoscopy #EGD