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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A cirrhosis tweetorial all about the platelet

Aims:
- Identify cirrhosis based on blood tests- 
- Understand why
A cirrhosis tweetorial ... Aims: - Identify cirrhosis ... platelets are low ... in #cirrhosis ... Tweetorial #Hepatology #Pathophysiology
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... Infections #Cirrhosis ... #Pathophysiology
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... #Diagnosis #Differential ... #Hepatology #Cirrhosis
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Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
Primary Biliary Cirrhosis ... - Pathophysiology ... relative with PBC Pathophysiology ... Primary #Biliary #Cirrhosis ... #Pathophysiology
Etiology and Complications of Cirrhosis

#Causes #Complications #Cirrhosis #Differential #Pathophysiology #Hepatology
Complications of Cirrhosis ... Complications #Cirrhosis ... #Differential # ... Pathophysiology
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... Prioritizing Tool • Low ... patients with liver cirrhosis ... #Nutrition #Cirrhosis ... management #hepatology #pathophysiology
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
-40 years • Low ... undetectable, low ... Family history of cirrhosis ... or fibrosis • Cirrhosis
Non-Alcoholic Fatty Liver Disease (NAFLD) - Diagnosis Algorithm
Low Suspicion:
    ≤ 1 feature of
Diagnosis Algorithm Low ... family history of cirrhosis ... family history of cirrhosis
Tweetorial - What's the deal with Ammonia in hepatic encephalopathy?

Aims
Try to answer this question while also
Encephalopathy #Sarcopenia #Cirrhosis ... Tweetorial #Hepatology #Pathophysiology