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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The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
consult - I-liner ... Focus on prior GI/Liver ... last meal - Treatment ... GregoryTBrennan #Liver ... Primer #Calling #Referral
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... Focus on prior Liver ... MELD - Chronic liver ... US - Prior liver ... Primer #Calling #Referral
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... derangement of liver ... considered for urgent referral ... repeat testing or referral ... result in urgent referral
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral
Studies show polyp removal surgeries are performed at
Endoscopy or Surgery Referral ... Algorithm #Surgery #Referral ... #management #gastroenterology
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Non-alcoholic fatty liver ... with NAFLD or liver ... likelihood of liver ... NAFLD #algorithm #Referral ... #Management #Hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... paracentesis (>5 liter ... ) - 8g per liter ... #Indications #Management ... #Cirrhosis #treatment
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Indications Treatment ... infection with severe liver ... mg/dL) or acute liver ... #Indications #management
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... cm, Preserved liver ... cm, Preserved liver ... HCC, End-stage liver ... HCC #Cirrhosis #Management
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