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 #
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
Primary sclerosing cholangitis ... (PSC) - Malignancy ... - Annual US or MRCP ... /- AFP CRC - IBD ... #PSC #Malignancy
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... • CHOLANGITIS ... • COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
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
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
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
ALP) Elevation - Differential ... Diagnosis Algorithm ... Primary biliary Cholangitis ... duct stricture/Stones ... #Diagnosis #Algorithm
Causes of Acute Pelvic Pain - Differential Diagnosis Algorithm
Non-Gynecologic:
• Genitourinary (Infection, Stone)
• Gastrointestinal (Appendicitis, Gastroenteritis, Diverticulitis,
Pelvic Pain - Differential ... Diagnosis Algorithm ... Genitourinary (Infection, Stone ... Diverticulitis, IBD ... #Diagnosis #Algorithm
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
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
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Primary Biliary Cholangitis ... (PBC). ... Recirculating System; CBD ... Primary #Biliary #Cholangitis ... #Hepatology #Algorithm