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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hepatology diagnosis algorithm management differential pathophysiology causes gastroenterology biliary treatment disease indications nafld pbc primary screening acute egd hepatic injury
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... Management of Cirrhosis ... ) - 8g per liter ... terlipressin #Albumin ... Indications #Management #Cirrhosis
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 ... likely to allow albumin
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... Infections #Cirrhosis ... Pathophysiology #hepatology #liver
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... Focus on prior Liver ... Gl History - Cirrhosis ... MELD - Chronic liver ... US - Prior liver
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
Carcinoma (HCC) in Cirrhosis ... cm, Preserved liver ... cm, Preserved liver ... HCC, End-stage liver ... Carcinoma #HCC #Cirrhosis
Management of critically-ill cirrhotic patients Open Access Source (Intensive Care Med (2018) 44:1932–1935): https://link.springer.com/epdf/10.1007/s00134-018-5078-z?shared_access_token=rKBIIjC6Htq14G82yghJnfe4RwlQNchNByi7wbcMAY63FIMr4IeFUPHZTUFKckgGIQeEsXu7k1NhPo-T8ItytjuWlMH7y0kI6IydY2i7VzU4Y93MfuEKQruo-qIKnVF91JyuQsQbJNPJv3UJYPzkySdSktYPmFVd6xw1xJDLPqY%3D #cirrhotic #cirrhosis #Management #CriticalCare
critically-ill cirrhotic ... rKBIIjC6Htq14G82yghJnfe4RwlQNchNByi7wbcMAY63FIMr4IeFUPHZTUFKckgGIQeEsXu7k1NhPo-T8ItytjuWlMH7y0kI6IydY2i7VzU4Y93MfuEKQruo-qIKnVF91JyuQsQbJNPJv3UJYPzkySdSktYPmFVd6xw1xJDLPqY%3D #cirrhotic ... #cirrhosis #Management
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... Nonalcoholic fatty liver ... Differential #Hepatology #Cirrhosis
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 Screening and surveillance of varices in patients with cirrhosis. - No for screening need if platelets
patients with cirrhosis ... platelets >150 Liver
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary Cirrhosis ... Liver biopsy findings ... Primary #Biliary #Cirrhosis
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Nutrition in Cirrhosis ... ) • Advanced liver ... patients with liver ... cirrhosis. ... #Nutrition #Cirrhosis
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