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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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Re-bleeding #Forrest #Classification ... Bleeding #Risks #Grading
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
HPS) Diagnosis Algorithm ... the dx is an A-a gradient ... HPS #Diagnosis #Algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Ascites Albumin Gradient ... the blood The diseased ... Serum #Albumin #Gradient
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver disease ... algorithm. ... NAFLD or liver disease ... non-alcoholic fatty liver disease ... #NAFLD #algorithm
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Score #diagnosis #classification ... gastroenterology #EGD #grading
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Cirrhosis - Diagnosis Algorithm ... associated autoimmune disease ... of autoimmune disease ... Cirrhosis #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... alcohol-related liver disease ... non-alcoholic fatty liver disease ... LFTs #Abnormal #Algorithm
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... Alcohol-related liver disease ... Injury #Diagnosis #Algorithm
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... causes of liver disease ... hemochromatosis #algorithm
Colon Ischemia - Diagnosis Algorithm
Mild disease - Typical symptoms of Cl with none of the associated
Ischemia - Diagnosis Algorithm ... Mild disease - ... Moderate disease ... Severe disease - ... Ischemia #Diagnosis #Algorithm