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
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty ... liver disease algorithm ... or liver disease ... non-alcoholic fatty ... #algorithm #Referral
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm
Low Suspicion:
    ≤ 1 feature of
Non-Alcoholic Fatty ... Liver Disease ( ... NAFLD) - Diagnosis ... Algorithm Low ... #Liver #Disease
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
Algorithm Two-step ... inspection of liver ... #NonAlcoholic #Fatty ... #Liver #Disease ... #Algorithm #hepatology
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 ... dehydrogenase; NAFLD ... non-alcoholic fatty ... LFTs #Abnormal #Algorithm
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 ... management #hepatology #gastroenterology
Variceal Screening in Pregnancy and Conception

#Variceal #Screening #Pregnancy #Conception #gastroenterology #obstetrics #algorithm #cirrhosis
Variceal Screening ... #Variceal #Screening ... Pregnancy #Conception #gastroenterology ... #obstetrics #algorithm ... #cirrhosis
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 ... - Patient s/p liver ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology