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
liver sinusoid (hepatic ... the liver The hepatic ... blood The diseased hepatic ... blood into the hepatic ... Interpretation #Differential
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
-1 antitrypsin deficiency ... Acute #Causes #Differential
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
Causes of Iron Deficiency ... Gastrointestinal #Iron #Deficiency ... Anemia #Causes #differential
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
α1-antitrypsin deficiency ... #Diagnosis #Differential
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Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Transcobalamin II deficiency ... #VitaminB12 #deficiency ... low #cobalamin #differential
Causes of Aplastic Anemia

#Aplastic #Anemia #Causes #Pathophysiology #Pathology #Treatment #Management #Differential
Anemia #Causes #Pathophysiology ... Treatment #Management #Differential
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
prevent or treat hepatic ... management #hepatology #pathophysiology
Hepatic Abscess: Microbiology
Common Pathogens: E. Coli, K. pneumoniae, Staphylococcus aureus, Streptococcus pyogenes
Rare pathogens that can cause
Hepatic Abscess: ... that can cause hepatic ... , Fasciola #Hepatic ... Microbiology #diagnosis #differential
Tweetorial - What's the deal with Ammonia in hepatic encephalopathy?

Aims
Try to answer this question while also
with Ammonia in hepatic ... ebtapper #Ammonia #Hepatic ... Tweetorial #Hepatology #Pathophysiology
Etiology and Complications of Cirrhosis

#Causes #Complications #Cirrhosis #Differential #Pathophysiology #Hepatology
Complications #Cirrhosis #Differential ... #Pathophysiology