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
surveillance of varices ... patients with cirrhosis ... -2/fulltext #varices ... #Variceal #Screening
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 varices -> ... years Small varices ... Algorithm #EGD #varices
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Cirrhosis Timeline ... Rate Compensated Cirrhosis ... Stage 1 - No varices ... 1%) Stage 2 - Varices ... Decompensated Cirrhosis
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... Infections #Cirrhosis ... #Pathophysiology
Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
Primary Biliary Cirrhosis ... - Pathophysiology ... relative with PBC Pathophysiology ... Primary #Biliary #Cirrhosis ... #Pathophysiology
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Causes of Small Bowel ... : Inflammatory Bowel ... purpura, Small bowel ... varices and/or
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... Syndrome (IBS) - Pathophysiology ... IBS #Irritable #Bowel ... #Syndrome #Pathophysiology
Variceal Screening in Pregnancy and Conception

#Variceal #Screening #Pregnancy #Conception #gastroenterology #obstetrics #algorithm #cirrhosis
Variceal Screening ... Conception #Variceal ... obstetrics #algorithm #cirrhosis
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
live vaccine), Varicella ... #inflammatory #bowel
A cirrhosis tweetorial all about the platelet

Aims:
- Identify cirrhosis based on blood tests- 
- Understand why
A cirrhosis tweetorial ... Aims: - Identify cirrhosis ... platelets are low in #cirrhosis ... s role in the #cirrhotic ... Tweetorial #Hepatology #Pathophysiology