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
Indications Treatment ... immunosuppression • Acute ... > 3 mg/dL) or acute ... liver failure ... #Indications #management
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for ... Albumin for Management ... ascites removed • Acute ... #Management #Cirrhosis ... #treatment #hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... duration), Several medications ... non-essential drug/HDS treatments ... Alcohol-related liver ... dechallenge • Acute
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
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
diagnosis and treatment ... symptoms, elevated liver ... is >1,000 μg/L, liver ... A liver biopsy can ... algorithm #diagnosis #management
Driving Impairment in Cirrhosis and Hepatic Encephalopathy 
 - Advise patients not to drive ~3 months
or optimize HE treatment ... decrease sedative medications ... - Optimize treatment ... Encephalopathy #management
Acute Pouchitis - Management Algorithm

#Acute #Pouchitis #Management #Algorithm #Treatment #gastroenterology
Acute Pouchitis ... - Management Algorithm ... #Acute #Pouchitis ... #Management #Algorithm ... #Treatment #gastroenterology
Autoimmune Hepatitis (AIH) Management Algorithm - Induction and Maintenance
 - AIH
 - AIH with Cirrhosis
 -
Hepatitis (AIH) Management ... Cirrhosis - Acute ... Hepatitis #AIH #Management ... #Algorithm #treatment
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Patient s/p liver ... Endoscopy #EGD #Indications ... Gastroenterology #Management