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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diagnosis cirrhosis differential management algorithm causes acute analysis antibiotic ascites bacterial biliary calling consultation dili druginduced fluid gastroenterology giconsult gradient
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... response Give IV albumin ... ) prophylaxis Primary ... dysfunction or liver ... Diagnosis #Management #hepatology
Antibiotic Therapy for Spontaneous Bacterial Peritonitis (SBP) - Standard therapy - Uncomplicated SBp• - Nosocomial SBP
Peritonitis (SBP ... Uncomplicated SBp ... - Nosocomial SBP ... hypersensitivity - Advanced liver ... #Pharmacology #Hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Serum to Ascites Albumin ... either made in the liver ... or not by the liver ... designed to keep albumin ... liverprof #Diagnosis #Hepatology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... paracentesis (>5 liter ... ) - 8g per liter ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
of Severe Acute Liver ... - Drug-Induced liver ... Hemochromatosis - Primary ... #Differential #Hepatology
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... Primer - Guide ... Focus on prior Liver ... Consultation #GIConsult #Primer ... Calling #Referral #Hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... Alcohol-related liver ... biliary obstruction, Primary ... biliary cholangitis, Primary ... Diagnosis #Algorithm #hepatology
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary ... Nonalcoholic fatty liver ... #Differential #Hepatology
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 Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Liver biopsy findings ... with PBC #PBC #Primary ... Diagnosis #Algorithm #hepatology
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