10 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
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Cannulation (SBC ... insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... #Cannulation #SBC
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... 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
to multi-focal biliary ... have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
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
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
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... (necrosis, biliary ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid