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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Focused evaluation algorithm for acute liver injury

#Liver #Injury #Acute #Evaluation #Algorithm #Diagnosis #Hepatology
Focused evaluation ... Injury #Acute #Evaluation ... #Algorithm #Diagnosis ... #Hepatology
CHILD PUGH SCORE

#Diagnosis #Hepatology #Cirrhosis #ChildPugh #Score #Criteria #Class
PUGH SCORE #Diagnosis ... #Hepatology #Cirrhosis
FibroScan Scale from F0 to F4

#Diagnosis #Hepatology #Fibroscan #Interpretation #Cirrhosis #Fibrosis
from F0 to F4 #Diagnosis ... #Hepatology #Fibroscan ... Interpretation #Cirrhosis
Gastric Epithelial Polyps - Evaluation and Management 
Hyperplastic Polyps
Fundic gland polyps (FGP)
Gastric Adenomas
Gastric Neuroendocrine Tumours (NET)
Hamartomatous
Gastric Epithelial ... Polyps - Evaluation ... polyps (FGP) Gastric ... Adenomas Gastric ... Epithelial #Polyps #diagnosis
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Cirrhosis Timeline ... Rate Compensated Cirrhosis ... Decompensated Cirrhosis ... Mortality #Timeline #diagnosis ... #hepatology
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... 14 percent) #Diagnosis ... #Differential #Hepatology ... #Cirrhosis #Causes
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary Cirrhosis ... - Diagnosis Algorithm ... Primary #Biliary #Cirrhosis ... #Diagnosis #Algorithm ... #hepatology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Gastrointestinal Evaluation ... patients with anemia, diagnose ... perform routine gastric ... Gastrointestinal #Evaluation ... #workup #diagnosis
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... normal, further evaluation ... Patients with cirrhosis ... C282Y homozygote, evaluation ... #management #hepatology
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... Assessment: • Evaluation ... patients with liver cirrhosis ... #Nutrition #Cirrhosis ... diet #management #hepatology