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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hepatology algorithm differential gastroenterology management causes abnormal acute anemia antibiotic deficiency diet dili druginduced egd endoscopy enzymes fatty gastrointestinal hemochromatosis
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Etiologies of Cirrhosis ... congenital - Primary biliary ... cirrhosis - α1 ... Nonalcoholic fatty liver ... 14 percent) #Diagnosis
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 Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... of autoimmune disease ... Liver biopsy findings ... #Cirrhosis #Diagnosis
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
of Severe Acute Liver ... hepatitis - Acute biliary ... - Drug-Induced liver ... hepatitis - Wilson disease ... Differential #Hepatology #Diagnosis
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
indicate the initial evaluation ... history alongside evaluation ... include extrahepatic biliary ... disease; AST, aspartate ... disease; T2DM,
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... disease, Hepatic ... Benign/malignant biliary ... obstruction, Primary biliary ... #Injury #Diagnosis
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Nutrition in Cirrhosis ... Assessment: • Evaluation ... disease ... cirrhosis. ... #Nutrition #Cirrhosis
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 ... disease. ... C282Y homozygote, evaluation
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
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm Low Suspicion: ≤ 1 feature of
Non-Alcoholic Fatty Liver ... Disease (NAFLD) ... - Diagnosis Algorithm ... family history of cirrhosis ... #Disease #NAFLD
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
or PEG-J) - Cirrhosis ... mediastinal cysts - Biliary ... - Patient s/p liver ... GI tract) - Biliary ... congenital heart disease
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