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
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary Cirrhosis ... - Diagnosis Algorithm ... associated autoimmune disease ... of autoimmune disease ... Primary #Biliary #Cirrhosis
Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
B12 Levels Low ... insufficiency, Crohn 's disease ... , coeliac disease ... #cobalamin #differential ... #diagnosis
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... Prioritizing Tool • Low ... • Prescribe low ... patients with liver cirrhosis ... #Nutrition #Cirrhosis
Gallstone Diseases
1. Asymptomatic Stones 75%
2. Biliary Pain 20%
3. Acute Cholecystitis 10%
4. Mirizzi's Syndrome < 0.1%
5. Cholangitis/
Gallstone Diseases ... #Gallstone #Diseases ... #differential # ... diagnosis #causes
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
hepatitis - Wilson disease ... Acute #Causes #Differential ... #Hepatology #Diagnosis
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
the blood The diseased ... oncotic pressure Low ... Matherly @liverprof #Diagnosis ... Interpretation #Differential
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
sprue, Whipple's disease ... ulcers, Crohn's disease ... Anemia #Causes #differential ... #diagnosis
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Bowel Bleeding - Differential ... Diagnosis Common ... Inflammatory Bowel Disease ... SmallBowel #Bleeding #Differential ... #Diagnosis #Causes
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Areas of diagnostic ... alcohol-related liver disease ... non-alcoholic fatty liver disease ... Liver #Enzymes #Differential ... #Diagnosis