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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Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
surveillance of varices ... -2/fulltext #varices ... #Variceal #Screening ... #Surveillance #Hepatology ... #EGD #PrimaryCare
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Cirrhosis No varices ... years Small varices ... Screening #Algorithm #EGD ... #varices #hepatology
CHILD PUGH SCORE

#Diagnosis #Hepatology #Cirrhosis #ChildPugh #Score #Criteria #Class
CHILD PUGH SCORE ... #Diagnosis #Hepatology ... Cirrhosis #ChildPugh #Score
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... Polypectomy - Variceal ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
EGD and the Banding ... Always hold the scope ... pull back the scope ... the tip of the scope ... fellows #endoscopy #egd
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Endoscopic ReFerence Score ... Grade 3: Severe (Scope ... Endoscopic #ReFerence #Score ... #diagnosis #classification ... gastroenterology #EGD
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 1 - No varices ... 1%) Stage 2 - Varices ... Mortality #Timeline #diagnosis ... #hepatology
MELD Score and 90 day Mortality - Model for End-stage Liver Disease Score

#Diagnosis #Hepatology #MELD #Score
MELD Score and 90 ... Mortality - Model for End-stage ... Liver Disease Score ... #Diagnosis #Hepatology ... #MELD #Score #Mortality
NAFLD Diagnosis Algorithm
Two-step diagnostic strategy for NAFLD
1st step: 
  - Clinical biomarkers, scoring systems- FIB4,
NAFLD Diagnosis ... Algorithm Two-step diagnostic ... NAFLD fibrosis score ... Disease #NAFLD #Diagnosis ... #Algorithm #hepatology