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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Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
associated autoimmune disease ... of autoimmune disease ... consistent with PBC ... #PBC #Primary ... Diagnosis #Algorithm #hepatology
Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
female-predominant disease ... of autoimmune disease ... relative with PBC ... Cholestasis #PBC ... Pathophysiology #hepatology
Inflammatory Bowel Disease (IBD) Diet Recommendations:
Crohn's Disease:
 • Increase: Vegetables, Fruits
 • Decrease: Saturated and trans
Inflammatory Bowel ... Disease (IBD) Diet ... Recommendations: Crohn's Disease ... #Inflammatory #Bowel ... #Disease #IBD #
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Nonalcoholic fatty liver disease ... - Wilson disease ... Venoocclusive disease ... #Differential #Hepatology
Ammonia Levels & Hepatic Encephalopathy in Patients with Chronic Liver Disease 
Choosing Wisely: Things We Do
Chronic Liver Disease ... TWDFNR #Diagnosis #Hepatology
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
hepatitis - Wilson disease ... #Differential #Hepatology
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Vaccine Preventable Diseases ... #inflammatory #bowel ... #disease #Checklist
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Causes of Small Bowel ... : Inflammatory Bowel ... Disease, Dieulafoy's ... purpura, Small bowel
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Test for celiac disease ... serology first Small bowel ... identification of small bowel
5 year mortality and Survival in Alcohol Related Liver Disease patients admitted to the ICU

Source data:
Related Liver Disease ... CriticalCare #ICU #Hepatology