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 cirrhosis gastroenterology differential causes pbc primary treatment acute disease ercp indications nafld pathophysiology injury liverinjury nonalcoholic
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... 2015) Give Antibiotics ... mediastinal cysts - Biliary ... - Patient s/p liver ... GI tract) - Biliary
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
of Severe Acute Liver ... hepatitis - Acute biliary ... - Drug-Induced liver ... Hemochromatosis - Primary biliary
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... Alcohol-related liver ... Benign/malignant biliary ... obstruction, Primary biliary ... #DrugInduced #Liver
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Recent exposure to antibiotics ... after empirical antibiotic ... Short-term (< 7 days) antibiotic ... dysfunction or liver
Antibiotic Therapy for Spontaneous Bacterial Peritonitis (SBP) - Standard therapy - Uncomplicated SBp• - Nosocomial SBP
Antibiotic Therapy ... hypersensitivity - Advanced liver ... SpontaneousBacterialPeritonitis #Antibiotic
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Primary Biliary ... Liver biopsy findings ... #PBC #Primary #Biliary
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... Nonalcoholic fatty liver
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 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
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 ... include extrahepatic biliary
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
paracentesis (>5 liter ... ) - 8g per liter ... kg 3rd day with antibiotics
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