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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Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
either made in the liver ... or not by the liver ... oncotic pressure Low ... Interpretation #Differential ... #Analysis
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver ... disease algorithm ... with NAFLD or liver ... , signifying a low ... Disease #NAFLD #algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... derangement of liver ... LFTs #Abnormal #Algorithm ... #Enzymes #Differential
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
acceptable Upper Gl bleeding ... considered if: Low ... dysfunction or liver
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Prioritizing Tool • Low ... ) • Advanced liver ... Biolectrical Impedance Analysis ... • Prescribe low ... patients with liver
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm
Low Suspicion:
    ≤ 1 feature of
Non-Alcoholic Fatty Liver ... NAFLD) - Diagnosis Algorithm ... Low Suspicion: ... NonAlcoholic #Fatty #Liver ... NAFLD #Diagnosis #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... - Patient s/p liver ... - Peritoneal dialysis