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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Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
disease algorithm ... disease of unknown ... disease; NFS, NAFLD ... NonAlcoholic #FattyLiver #Disease ... algorithm #Referral #Management
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
) • Advanced liver ... disease (Child-Pugh ... diseases ... disease ... Cirrhosis #diet #management
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
symptoms, elevated liver ... is >1,000 μg/L, liver ... A liver biopsy can ... disease. ... algorithm #diagnosis #management
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
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
of Severe Acute Liver ... - Drug-Induced liver ... hepatitis - Wilson disease
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Patient s/p liver ... congenital heart disease ... Gastroenterology #Management
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... cm, Preserved liver ... cm, Preserved liver ... HCC, End-stage liver ... HCC #Cirrhosis #Management
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