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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Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... : - tops of gastric ... Measure Depth of Endoscope ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... algorithm for GIM management ... Endoscopic surveillance ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... perform routine gastric ... change medical management ... Evaluation #workup #diagnosis
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... ) - 8g per liter ... #Indications #Management ... #Cirrhosis #treatment ... #hepatology
Approach to the Diagnosis and Treatment of Spontaneous Bacterial Peritonitis. This algorithm provides a general approach
Approach to the Diagnosis ... and Treatment of ... and management ... #Diagnosis #Management ... #Hepatology #SBP
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis - Management ... can be bridge to Liver ... Alcoholic #Hepatitis #Management ... #Algorithm #treatment ... #hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... DILI) - Stepwise Diagnosis ... non-essential drug/HDS treatments ... #Injury #Diagnosis ... #Algorithm #hepatology
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... infection with severe liver ... mg/dL) or acute liver ... #Indications #management ... #hepatology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... and treatment of ... symptoms, elevated liver ... hemochromatosis #algorithm #diagnosis ... #management #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... and Management ... dysfunction or liver ... Peritonitis #SBP #Diagnosis ... #Management #hepatology