16 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 ... wabillin #PSC #IBD ... #Algorithm #IBDAlgorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... stone on transabdominal ... Clinical Ascending cholangitis ... Strong - Dilated CBD
Causes of Acute Pelvic Pain - Differential Diagnosis Algorithm
Non-Gynecologic:
• Genitourinary (Infection, Stone)
• Gastrointestinal (Appendicitis, Gastroenteritis, Diverticulitis,
Causes of Acute ... Pelvic Pain - Differential ... Diagnosis Algorithm ... Genitourinary (Infection, Stone ... Diverticulitis, IBD
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Causes of Thrombocytosis ... - Differential ... Diagnosis Algorithm ... Inflammatory: • IBD ... #Causes #Hematology
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... in CBD(6+)(Yikes ... ERCP/cholecystectomy ... Common #BileDuct #CBD
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Diagnosis Algorithm ... Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... sulindac - Active IBID
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... necrosis, biliary, stones ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #diagnosis #Causes ... #algorithm