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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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 ... Primer #Calling #Referral
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
considered for urgent referral ... repeat testing or referral ... result in urgent referral ... disease; AST, aspartate ... disease; T2DM,
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 ... NAFLD #algorithm #Referral
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 ... Primer #Calling #Referral
Trichuris dysentery syndrome on sigmoidoscopy (whipworms)

An 8y child was referred for sigmoidoscopy from a pediatric unit.
An 8y child was referred ... We were referred ... mentioned cause of referral
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
of Severe Acute Liver ... - Drug-Induced liver ... hepatitis - Wilson disease
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral
Studies show polyp removal surgeries are performed at
Endoscopy or Surgery Referral ... Algorithm #Surgery #Referral
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
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Vaccine Preventable Diseases ... Hepatitis B, MMR (live ... vaccine), Varicella (live ... inflammatory #bowel #disease