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management gastroenterology hepatology primary psc sclerosing abnormal acute asymptomatic cancer cannulation causes choledocholithiasis clinical differential difficult dilated elevated fat ileitis
Dilated Common Bile Duct on POCUS 50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... mass in distal CBD ... Diagnosed with cholangiocarcinoma ... RJonesSonoEM #Dilated #CBD ... ultrasound #clinical #biliary
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 Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations Cholangiocarcinoma - Annual US or
Primary sclerosing cholangitis ... Recommendations Cholangiocarcinoma ... - Annual US or MRCP ... /- AFP CRC - IBD ... Colonoscopy @ diagnosis
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
have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... cancers, including cholangiocarcinoma ... judicious use of ERCP
Asymptomatic Ileitis - IBD Algorithm • Found on 0.1-21% of non-diagnostic colonoscopies • Low likelihood of
Asymptomatic Ileitis - IBD ... 0.1-21% of non-diagnostic ... of representing CD ... progresses to CD ... #IBD #Algorithm
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
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
- Differential Diagnosis ... Biliary Duct Obstruction ... • Malignancy— cholangiocarcinoma ... Celiac disease • IBD ... - CD, UC Altered
Difficult Selective Biliary Cannulation (SBC) Factors associated with difficult SBC: - SMALL PAPILLA: can be difficult to
insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... SBC #Difficult #ercp ... gastroenterology #management #diagnosis
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 for Transaminitis ... Ducts - CBD ... stone, Biliary ... #diagnosis #hepatology
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