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

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
(PSC) and IBD - ... IBD Algorithm ... @wabillin #PSC ... #IBD #Algorithm ... #IBDAlgorithm #
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
(PSC) PSC is a ... extra-hepatic bile ducts, commonly ... • COLITIS - PSC-IBD ... judicious use of ERCP ... with UDCA remains common
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Malignancy Most common ... Bone symptoms - Pain ... Primary biliary Cholangitis ... (PBC) - Other ... Infiltrative diseases - PSC
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... Stricture or dysplasia in ... last 5yrs • PSC ... affecting <50% of colon ... @drkeithsiau #IBD
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
(PBC). ... Recirculating System; CBD ... , common bile duct ... #PBC #Management ... #Hepatology #Algorithm
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... show elevated WBC ... ERCP/cholecystectomy ... pancreatitis or cholangitis ... RJonesSonoEM #Dilated #Common
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
Cancer screening in ... ulcerative colitis ... primary sclerosing cholangitis ... (PSC) should undergo ... #Cancer #CRC #Colon
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Diagnosis: • ANCA-associated ... Antiribosomal P, APLA, PAC ... titers > 1:80 • CBC ... Kidney disease common ... Malignancy Associated
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... Consult GI • Labs: CBC ... Endoscopy (Flex Sig or Colon ... consider early in ... diagnosis #management #algorithm
Essential Thrombocythemia (ET)
ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Diagnosis: On the CBC ... thrombocytosis, only other commonly ... ET-associated mutation ... hemoproliferative disorder associated ... • Treatment algorithms