11 results
Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Primary Sclerosing Cholangitis ... (PSC) and IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Adult male-RUQ abd ... WBC-16.8K. ... MRCP performed. ... tree(can be CHD ... or CBD that is
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
with Symptomatic ... Very strong - CBD ... Clinical Ascending cholangitis ... Strong - Dilated CBD ... Choledocholithiasis #Biliary
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... are asymptomatic ... • COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
Asymptomatic Ileitis - IBD Algorithm

 • Found on 0.1-21% of non-diagnostic colonoscopies
 • Low likelihood of
- IBD Algorithm ... of representing CD ... progresses to CD ... #Ileitis #IBDAlgorithm ... #IBD #Algorithm
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Pruritus in Primary Biliary ... Cholangitis (PBC ... Recirculating System; CBD ... #Cholangitis #PBC ... Management #Hepatology #Algorithm
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Ducts - PBC ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... Labs: WBC 12.4, ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... ultrasound #clinical #biliary
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... #Difficult #ercp
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... ERCP/cholecystectomy ... Common #BileDuct #CBD