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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Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... endoscopy - EUS ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
CHILD PUGH SCORE

#Diagnosis #Hepatology #Cirrhosis #ChildPugh #Score #Criteria #Class
PUGH SCORE #Diagnosis ... #Hepatology #Cirrhosis ... ChildPugh #Score #Criteria
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Prague Criteria ... Hiatus Hernia Is ... Junction #Prague #Criteria ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... w/ Prague C&M criteria ... distal esophagus is ... Documentation #EGD ... #diagnosis #gastroenterology
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Biliary Cirrhosis - Diagnosis ... after pregnancy Diagnose ... PBC if 2/3 criteria ... Biliary #Cirrhosis #Diagnosis ... #Algorithm #hepatology
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Syndrome (HPS) Diagnosis ... nail on the dx is ... If <15 it is a simple ... Syndrome #HPS #Diagnosis ... #Algorithm #hepatology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
of pathway and is ... metabolic syndrome criteria ... Areas of diagnostic ... Abnormal #Algorithm #Hepatology ... #Differential #Diagnosis
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Gradient Ascites is ... hepatic sinusoid is ... fluid • Ascites is ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... Ciprofloxacin is ... Peritonitis #SBP #Diagnosis ... #Management #hepatology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... Step 2: If TS is ... <45% and SF is ... hemochromatosis #algorithm #diagnosis ... #management #hepatology