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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algorithm diagnosis indications cirrhosis pouchitis sbp albumin alcoholic bacterial black carcinoma dili druginduced endoscopy eoe eosinophilic esophageal esophagus gastroenteritis hbv
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... ascites removed • Acute ... kg 3rd day with antibiotics ... #Cirrhosis #treatment ... #hepatology
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... Surgery consults +/- antibiotics ... Braghirol @KBrag_MD #Acute ... #gastroenterology
Antibiotic Therapy for Spontaneous Bacterial Peritonitis (SBP) - Standard therapy - Uncomplicated SBp• - Nosocomial SBP
Antibiotic Therapy ... hypersensitivity - Advanced liver ... renal failure #Management ... SpontaneousBacterialPeritonitis #Antibiotic ... #Pharmacology #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... Recent exposure to antibiotics ... SBP: Medical Management ... dysfunction or liver ... #hepatology
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... cm, Preserved liver ... transplantable HCC, End-stage ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
immunosuppression • Acute ... > 3 mg/dL) or acute ... liver failure ... #Indications #management ... #hepatology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... - Patient s/p liver ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #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 ... Diagnosis #Algorithm #hepatology
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
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. Step 1: In the patient with
diagnosis and treatment ... symptoms, elevated liver ... A liver biopsy can ... algorithm #diagnosis #management ... #hepatology #gastroenterology
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