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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CHILD PUGH SCORE

#Diagnosis #Hepatology #Cirrhosis #ChildPugh #Score #Criteria #Class
PUGH SCORE #Diagnosis ... #Hepatology #Cirrhosis ... ChildPugh #Score #Criteria
Gastric Epithelial Polyps - Evaluation and Management 
Hyperplastic Polyps
Fundic gland polyps (FGP)
Gastric Adenomas
Gastric Neuroendocrine Tumours (NET)
Hamartomatous
Gastric Epithelial ... Polyps - Evaluation ... Adenomas Gastric ... Epithelial #Polyps #diagnosis ... #Management #gastroenterology
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary Cirrhosis ... - Diagnosis Algorithm ... PBC if 2/3 criteria ... Primary #Biliary #Cirrhosis ... #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
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Gastrointestinal Evaluation ... patients with anemia, diagnose ... perform routine gastric ... #workup #diagnosis ... #gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Prague Criteria ... : - tops of gastric ... Junction #Prague #Criteria ... Barretts #Esophagus #diagnosis ... endoscopy #EGD #gastroenterology
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... w/ Prague C&M criteria ... air gently till gastric ... Documentation #EGD #diagnosis ... #gastroenterology
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 ... #management #hepatology ... #gastroenterology
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Concern for HES: • Hematology ... consult for evaluation ... • Additional diagnostic ... Treatment #management #gastroenterology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
indicate the initial evaluation ... history alongside evaluation ... metabolic syndrome criteria ... Abnormal #Algorithm #Hepatology ... Liver #Enzymes #Differential