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 gastroenterology cirrhosis causes acute disease indications nafld treatment injury liverinjury nonalcoholic pathophysiology referral biliary calling
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Recent exposure to antibiotics ... after empirical antibiotic ... response Give IV albumin ... Short-term (< 7 days) antibiotic ... dysfunction or liver
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... paracentesis (>5 liter ... ) - 8g per liter ... kg 3rd day with antibiotics ... terlipressin #Albumin
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
Antibiotic Therapy for Spontaneous Bacterial Peritonitis (SBP) - Standard therapy - Uncomplicated SBp• - Nosocomial SBP
Antibiotic Therapy ... hypersensitivity - Advanced liver ... SpontaneousBacterialPeritonitis #Antibiotic
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... Focus on prior Liver ... MELD - Chronic liver ... disease work up - Liver ... US - Prior liver
The Gastroenterology Consult Primer Guide to Calling a GI Consult HPI: - Start with reason for consult
consult - I-liner ... Focus on prior GI/Liver ... GregoryTBrennan #Liver
Focused evaluation algorithm for acute liver injury #Liver #Injury #Acute #Evaluation #Algorithm #Diagnosis #Hepatology
algorithm for acute liver ... injury #Liver
Functions of the Liver Storage Degradation Metabolism Synthesis #Pathophysiology #Functions #Liver #Hepatology #Synthesis #Storage #Metabolism
Functions of the Liver ... Pathophysiology #Functions #Liver
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... response to abnormal liver ... derangement of liver ... the pattern of liver ... alcohol-related liver
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
of Severe Acute Liver ... - Drug-Induced liver
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