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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Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... 2015) Give Antibiotics ... - Patient s/p liver ... Do Not Give Antibiotics ... congenital heart disease
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... disease work up ... - Liver US ... - Prior liver biopsy ... GregoryTBrennan #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
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
of Severe Acute Liver ... - Drug-Induced liver ... hepatitis - Wilson disease
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver ... disease algorithm ... disease of unknown ... disease; NFS, NAFLD ... NonAlcoholic #FattyLiver #Disease
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
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 ... disease; AST, aspartate ... disease; T2DM,
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Nonalcoholic fatty liver ... disease - Wilson ... disease Congestive ... Venoocclusive disease
Ammonia Levels & Hepatic Encephalopathy in Patients with Chronic Liver Disease 
Choosing Wisely: Things We Do
Patients with Chronic Liver ... Disease Choosing