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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Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Family history of cirrhosis ... or fibrosis • Cirrhosis ... > 3 mg/dL) or acute ... liver failure ... #Indications #management
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... ascites removed • Acute ... #Indications #Management ... #Cirrhosis #treatment
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Carcinoma (HCC) in Cirrhosis ... - Management Algorithm ... cm, Preserved liver ... Carcinoma #HCC #Cirrhosis ... #Management #Algorithm
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 ... Encephalopathy #management
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
diagnosis and treatment ... symptoms, elevated liver ... Patients with cirrhosis ... A liver biopsy can ... algorithm #diagnosis #management
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... ) • Advanced liver ... cirrhosis. ... #Nutrition #Cirrhosis ... #diet #management
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... non-essential drug/HDS treatments ... Alcohol-related liver ... dechallenge • Acute ... #DrugInduced #Liver
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
Autoimmune Hepatitis (AIH) Management Algorithm - Induction and Maintenance
 - AIH
 - AIH with Cirrhosis
 -
Hepatitis (AIH) Management ... AIH - AIH with Cirrhosis ... - Acute Severe ... Hepatitis #AIH #Management ... #Algorithm #treatment
Acute Pouchitis - Management Algorithm

#Acute #Pouchitis #Management #Algorithm #Treatment #gastroenterology
Acute Pouchitis ... - Management Algorithm ... #Acute #Pouchitis ... #Management #Algorithm ... #Treatment #gastroenterology