10 results
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Biliary Cannulation (SBC ... ) Factors associated ... SBC: - SMALL PAPILLA ... #Cannulation #SBC ... #Difficult #ercp
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... • CHOLANGITIS ... most frequent in ... • COLITIS - PSC-IBD ... judicious use of ERCP
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... rapidly progressive CKD ... sterile pyuria, WBC ... Received drug associated ... #Algorithm #nephrology
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Management of Pruritus in ... (PBC). ... Recirculating System; CBD ... #PBC #Management ... #Hepatology #Algorithm
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
RUQ abdominal pain ... show elevated WBC ... MULTIPLE stones in ... ERCP/cholecystectomy ... pancreatitis or cholangitis
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Clostridioides Difficile ... pain, Fever, ↑WBC ... Pseudomembranous colitis ... → Fulminant Colitis ... Clostridioides #Difficile
Chronic Hepatitis B - Diagnosis and Management Algorithm

• Who to treat: Essentially treat the pts with
and Management Algorithm ... • Keep in mind ... • Monitor: CBC ... Seroconversion is very difficult ... HepatitisB #HBV #Algorithm
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd ... Hgb 12.5, WBC 14 ... recurrentis has been associated ... subspecies, P. h. capitis ... cases have been 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 ... consider early in ... CheckpointInhibitor #Colitis ... diagnosis #management #algorithm
Essential Thrombocythemia (ET)
ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
pathway, resulting in ... Diagnosis: On the CBC ... ET-associated mutation ... hemoproliferative disorder associated ... • Treatment algorithms