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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Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... - Wilson disease ... 14 percent) #Diagnosis ... #Differential #Hepatology ... #Cirrhosis #Causes
Algorithm for noninvasive evaluation of patients with suspected NAFLD

https://www.gastrojournal.org/article/S0016-5085(19)30051-4/fulltext

#NAFLD #Algorithm #assessment #evaluation #diagnosis #hepatology #noninvasive
for noninvasive evaluation ... with suspected NAFLD ... 4/fulltext #NAFLD ... Algorithm #assessment #evaluation ... #diagnosis #hepatology
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm
Low Suspicion:
    ≤ 1 feature of
Non-Alcoholic Fatty Liver Disease ... (NAFLD) - Diagnosis ... family history of cirrhosis ... #NAFLD #Diagnosis ... #Algorithm #hepatology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
indicate the initial evaluation ... history alongside evaluation ... of NAFLD. ... dehydrogenase; NAFLD ... Abnormal #Algorithm #Hepatology
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary Cirrhosis ... associated autoimmune disease ... of autoimmune disease ... Primary #Biliary #Cirrhosis ... #hepatology
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
NAFLD Diagnosis ... Algorithm Two-step diagnostic ... #Fatty #Liver #Disease ... #NAFLD #Diagnosis ... #Algorithm #hepatology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Gastrointestinal Evaluation ... patients with anemia, diagnose ... Test for celiac disease ... perform routine gastric ... #workup #diagnosis
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
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 ... causes of liver disease ... #management #hepatology
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Severity of the Disease ... Concern for HES: • Hematology ... consult for evaluation ... • Additional diagnostic