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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hepatology algorithm management diagnosis gastroenterology screening egd indications biliary causes differential disease endoscopy pbc primary primarycare treatment tweetorial varices albumin
Screening and surveillance of varices in patients with cirrhosis. - No for screening need if platelets
surveillance of varices ... patients with cirrhosis ... platelets >150 Liver ... -2/fulltext #varices ... #Variceal #Screening
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... Infections #Cirrhosis ... #Pathophysiology ... #hepatology #liver
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
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... Focus on prior Liver ... Gl History - Cirrhosis ... MELD - Chronic liver ... US - Prior liver
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
Carcinoma (HCC) in Cirrhosis ... cm, Preserved liver ... cm, Preserved liver ... HCC, End-stage liver ... Carcinoma #HCC #Cirrhosis
Functions of the Liver Storage Degradation Metabolism Synthesis #Pathophysiology #Functions #Liver #Hepatology #Synthesis #Storage #Metabolism
Functions of the Liver ... Synthesis #Pathophysiology ... #Functions #Liver
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... Nonalcoholic fatty liver ... Differential #Hepatology #Cirrhosis
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 Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... paracentesis (>5 liter ... ) - 8g per liter ... Indications #Management #Cirrhosis
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
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