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 ... patients with cirrhosis ... platelets >150 Liver ... Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... Algorithm Symptoms ... Liver biopsy findings ... #PBC #Primary #Biliary
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
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... a diagnosis of NAFLD ... include extrahepatic biliary ... dehydrogenase; NAFLD ... LFTs #Abnormal #Algorithm
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm
Low Suspicion:
    ≤ 1 feature of
Non-Alcoholic Fatty Liver ... Disease (NAFLD) ... - Diagnosis Algorithm ... family history of cirrhosis ... #Disease #NAFLD
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... suggested initial screening ... Patients with cirrhosis ... should undergo screening ... hemochromatosis #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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

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