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Elliot Tapper
@ebtapper
Hepatologist @michiganliver @vaannarbor; #cirrhosis; encephalopathy; frailty; quality improvement; father; husband. #livertwitter Co-EIC of @HepCommJournal
ID:371895528
https://www.uofmhealth.org/profile/4313/elliot-benjamin-tapper-md 11-09-2011 18:32:59
12,0K Tweets
39,1K Followers
735 Following
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1/ Approach to Ascites Thread
▪️3-step approach (PMN, SAAG, protein)
▪️Lab evaluation
▪️Differential by fluid color
▪️Correction for bloody fluid
▪️Ascites DDx square (SAAG x Protein)
▪️Bacterial peritonitis profiles
▪️Runyon’s criteria for secondary infection
#LiverTwitter 👊
![Carl Kay, MD (@CarlKayMD) on Twitter photo 2024-05-28 11:21:01 1/ Approach to Ascites Thread ▪️3-step approach (PMN, SAAG, protein) ▪️Lab evaluation ▪️Differential by fluid color ▪️Correction for bloody fluid ▪️Ascites DDx square (SAAG x Protein) ▪️Bacterial peritonitis profiles ▪️Runyon’s criteria for secondary infection #LiverTwitter 👊 1/ Approach to Ascites Thread ▪️3-step approach (PMN, SAAG, protein) ▪️Lab evaluation ▪️Differential by fluid color ▪️Correction for bloody fluid ▪️Ascites DDx square (SAAG x Protein) ▪️Bacterial peritonitis profiles ▪️Runyon’s criteria for secondary infection #LiverTwitter 👊](https://pbs.twimg.com/media/GOqYZy1WwAIc32x.jpg)
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People with PSC have a unique pattern of bile acid synthesis
They sampled bile using ERCP among controls (no biliary disease), other cholestasis, and early PSC
And they discovered something important about psc pathophysiology
journals.lww.com/hepcomm/fullte…
In Hepatology Communications
![Elliot Tapper (@ebtapper) on Twitter photo 2024-05-27 19:51:45 People with PSC have a unique pattern of bile acid synthesis They sampled bile using ERCP among controls (no biliary disease), other cholestasis, and early PSC And they discovered something important about psc pathophysiology journals.lww.com/hepcomm/fullte… In @HepCommJournal People with PSC have a unique pattern of bile acid synthesis They sampled bile using ERCP among controls (no biliary disease), other cholestasis, and early PSC And they discovered something important about psc pathophysiology journals.lww.com/hepcomm/fullte… In @HepCommJournal](https://pbs.twimg.com/media/GOnDtanX0AAknc-.jpg)
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being a #chiefresident is truly the weirdest job in the world, but with just over one week left, I’ve been really reflecting on what a growth experience this has been both personally and professionally.
here are 12 things I learned (other than how to be a much better educator):
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Chronic pain in #cirrhosis is common and morbid - and we need to do something about it
The great Jessica Rubin in Hepatology Communications journals.lww.com/hepcomm/fullte…
![Elliot Tapper (@ebtapper) on Twitter photo 2024-05-24 00:51:28 Chronic pain in #cirrhosis is common and morbid - and we need to do something about it The great @JessBRubin in @HepCommJournal journals.lww.com/hepcomm/fullte… Chronic pain in #cirrhosis is common and morbid - and we need to do something about it The great @JessBRubin in @HepCommJournal journals.lww.com/hepcomm/fullte…](https://pbs.twimg.com/media/GOTh87qX0AATDLq.jpg)
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All about PNPLA3 in Hepatology Communications today
1⃣PNPLA3 in #cirrhosis
⬆️Risk of HCC
↔️No diff in decompensation
journals.lww.com/hepcomm/fullte…
2⃣What do patients think about PNPLA3 testing?
Ground breaking qualitative work Jonathan G. Stine, MD MSc, FACP
journals.lww.com/hepcomm/fullte…
![Elliot Tapper (@ebtapper) on Twitter photo 2024-05-23 20:43:34 All about PNPLA3 in @HepCommJournal today 1⃣PNPLA3 in #cirrhosis ⬆️Risk of HCC ↔️No diff in decompensation journals.lww.com/hepcomm/fullte… 2⃣What do patients think about PNPLA3 testing? Ground breaking qualitative work @JonathanStineMD journals.lww.com/hepcomm/fullte… All about PNPLA3 in @HepCommJournal today 1⃣PNPLA3 in #cirrhosis ⬆️Risk of HCC ↔️No diff in decompensation journals.lww.com/hepcomm/fullte… 2⃣What do patients think about PNPLA3 testing? Ground breaking qualitative work @JonathanStineMD journals.lww.com/hepcomm/fullte…](https://pbs.twimg.com/media/GOSpM7VbQAA9B69.png)
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Excited to share our latest research in Hepatology Communications on the patient journey in #MASH !
Patient experiences, misdiagnoses, impact of genetic & ethnic factors and more!
🔑 findings highlight need for better clinician communication and support systems.
journals.lww.com/hepcomm/fullte…
![Jonathan G. Stine, MD MSc, FACP (@JonathanStineMD) on Twitter photo 2024-05-23 17:44:14 Excited to share our latest research in @HepCommJournal on the patient journey in #MASH! Patient experiences, misdiagnoses, impact of genetic & ethnic factors and more! 🔑 findings highlight need for better clinician communication and support systems. journals.lww.com/hepcomm/fullte… Excited to share our latest research in @HepCommJournal on the patient journey in #MASH! Patient experiences, misdiagnoses, impact of genetic & ethnic factors and more! 🔑 findings highlight need for better clinician communication and support systems. journals.lww.com/hepcomm/fullte…](https://pbs.twimg.com/media/GOR_jWEXEAAKBfw.jpg)
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Why two people that drink the same amount of alcohol, one develops cirrhosis and the other does not?
In the GenomALC Consortium, we found 20 genetic variants that influence susceptibility to cirrhosis.
t.ly/13NJ1 Hepatology Communications #livertwitter
![Ramon Bataller (@rabataller) on Twitter photo 2024-05-23 13:15:44 Why two people that drink the same amount of alcohol, one develops cirrhosis and the other does not? In the GenomALC Consortium, we found 20 genetic variants that influence susceptibility to cirrhosis. t.ly/13NJ1 @HepCommJournal #livertwitter Why two people that drink the same amount of alcohol, one develops cirrhosis and the other does not? In the GenomALC Consortium, we found 20 genetic variants that influence susceptibility to cirrhosis. t.ly/13NJ1 @HepCommJournal #livertwitter](https://pbs.twimg.com/media/GORBe1VXEAEsHtm.jpg)
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Naltrexone in AUD and liver disease:
🥇Should be 1st line
🔹Start: 50 mg daily, also available as monthly subcutaneous
🔹Use freely in Child’s A/B, ⚠️ in C but benefits will probably outweigh the theoretical risks as 🍸is ☠️for liver
#AGAGastroSquad AASLD Digestive Disease Week
![Hanna Blaney, MD, MPH (@BlaneyMD) on Twitter photo 2024-05-20 14:35:52 Naltrexone in AUD and liver disease: 🥇Should be 1st line 🔹Start: 50 mg daily, also available as monthly subcutaneous 🔹Use freely in Child’s A/B, ⚠️ in C but benefits will probably outweigh the theoretical risks as 🍸is ☠️for liver #AGAGastroSquad @AASLDtweets @DDWMeeting Naltrexone in AUD and liver disease: 🥇Should be 1st line 🔹Start: 50 mg daily, also available as monthly subcutaneous 🔹Use freely in Child’s A/B, ⚠️ in C but benefits will probably outweigh the theoretical risks as 🍸is ☠️for liver #AGAGastroSquad @AASLDtweets @DDWMeeting](https://pbs.twimg.com/media/GOB4RcGWkAEt9I2.jpg)
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Obligatory #DDW2024 sign pic with the fellows of UMichGIHep-Fellowship - all the learning, groundbreaking research and so much fun with the best people. 〽️💛💙 #goblue #AGAGastroSquad
![Sarah Uttal (@SarahUttal) on Twitter photo 2024-05-20 18:52:53 Obligatory #DDW2024 sign pic with the fellows of @UMichGIHep - all the learning, groundbreaking research and so much fun with the best people. 〽️💛💙#goblue #AGAGastroSquad Obligatory #DDW2024 sign pic with the fellows of @UMichGIHep - all the learning, groundbreaking research and so much fun with the best people. 〽️💛💙#goblue #AGAGastroSquad](https://pbs.twimg.com/media/GOCzG0wWcAEL0W3.jpg)
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Very nice episode from The Curbsiders with Arthur Kim on hepatitis B
Includes Shout out to Su Wang
podcasts.apple.com/us/podcast/the…