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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The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... Primer - Guide ... Consultation #GIConsult #Primer ... #Calling #Referral ... #Hepatology #Gastroenterology
Antibiotic Therapy for Spontaneous Bacterial Peritonitis  (SBP)

- Standard therapy 
- Uncomplicated SBp• 
- Nosocomial SBP
Peritonitis (SBP ... Uncomplicated SBp ... - Nosocomial SBP ... hypersensitivity - Advanced liver ... #Pharmacology #Hepatology
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
Gastroenterology Consult Primer ... Focus on prior GI/Liver ... GregoryTBrennan #Liver ... Consultation #GIConsult #Primer ... #Calling #Referral
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... , cefotaxime) SBP ... ) prophylaxis Primary ... dysfunction or liver ... Diagnosis #Management #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
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... considered for urgent referral ... repeat testing or referral ... result in urgent referral ... Abnormal #Algorithm #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
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver ... with NAFLD or liver ... likelihood of liver ... NAFLD #algorithm #Referral ... #Management #Hepatology
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