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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Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... Algorithm Initial treatment ... steroids Initial treatment ... trials, Combination treatment ... #EoE #Refractory
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
Refractory Ascites ... encephalopathy #Refractory ... management #algorithm #treatment
Alcoholic Hepatitis Treatment Algorithm

#Alcoholic #Hepatitis #Treatment #Algorithm #Management #hepatology
Alcoholic Hepatitis Treatment ... Alcoholic #Hepatitis #Treatment
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Indications Treatment ... ), normal ALT Treatment ... history of HCC Treatment ... HepatitisB #HepBV #HBV #Treatment
An algorithm of diagnostic and therapeutic recommendations for patients with microscopic colitis.

#Microscopic #Colitis #Lymphocytic #Collagenous #Algorithm
Algorithm #Management #Treatment
Approach to the Diagnosis and Treatment of Spontaneous Bacterial Peritonitis. This algorithm provides a general approach
Diagnosis and Treatment
Hepatocellular Carcinoma (HCC) Surveillance and Management

#HCC #Hepatocellular #Carcinoma #Surveillance #Management #Treatment #Hepatology
Surveillance #Management #Treatment
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Management #Cirrhosis #treatment
Driving Impairment in Cirrhosis and Hepatic Encephalopathy 
 - Advise patients not to drive ~3 months
or optimize HE treatment ... medications - Optimize treatment
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
last meal - Treatment