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 management algorithm gastroenterology diagnosis eosinophilic pathophysiology esophagitis liver biliary causes differential egd pbc primary hepatitis indications screening variceal alcoholic
Management of critically-ill cirrhotic patients Open Access Source (Intensive Care Med (2018) 44:1932–1935): https://link.springer.com/epdf/10.1007/s00134-018-5078-z?shared_access_token=rKBIIjC6Htq14G82yghJnfe4RwlQNchNByi7wbcMAY63FIMr4IeFUPHZTUFKckgGIQeEsXu7k1NhPo-T8ItytjuWlMH7y0kI6IydY2i7VzU4Y93MfuEKQruo-qIKnVF91JyuQsQbJNPJv3UJYPzkySdSktYPmFVd6xw1xJDLPqY%3D #cirrhotic #cirrhosis #Management #CriticalCare
critically-ill cirrhotic ... rKBIIjC6Htq14G82yghJnfe4RwlQNchNByi7wbcMAY63FIMr4IeFUPHZTUFKckgGIQeEsXu7k1NhPo-T8ItytjuWlMH7y0kI6IydY2i7VzU4Y93MfuEKQruo-qIKnVF91JyuQsQbJNPJv3UJYPzkySdSktYPmFVd6xw1xJDLPqY%3D #cirrhotic ... #cirrhosis #Management
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis (EoE ... eosinophilia, ≥ 15 eos ... eosinophilia, 7-14 eos ... /hpf 1-6 eos/hpf ... #Esophagitis #EoE
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... Indications #Management #Cirrhosis ... #treatment #hepatology
Driving Impairment in Cirrhosis and Hepatic Encephalopathy - Advise patients not to drive ~3 months
Impairment in Cirrhosis ... or optimize HE treatment ... medications - Optimize treatment ... Driving #Impairment #Cirrhosis
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Indications Treatment ... ), normal ALT Treatment ... Family history of cirrhosis ... or fibrosis • Cirrhosis
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... Infections #Cirrhosis
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... Differential #Hepatology #Cirrhosis
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 Cirrhosis Timeline and Mortality Rate Compensated Cirrhosis Stage 1 - No varices (Annual Mortality Rate 1%) Stage 2 -
Cirrhosis Timeline ... Rate Compensated Cirrhosis ... Decompensated Cirrhosis ... Rate 57%) #Cirrhosis
FibroScan Scale from F0 to F4 #Diagnosis #Hepatology #Fibroscan #Interpretation #Cirrhosis #Fibrosis
Interpretation #Cirrhosis
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 CHILD PUGH SCORE #Diagnosis #Hepatology #Cirrhosis #ChildPugh #Score #Criteria #Class
Diagnosis #Hepatology #Cirrhosis
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