13 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 ... Recommendations Cholangiocarcinoma ... - Annual US or MRCP ... /- AFP CRC - IBD ... Gastroenterology #Management
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
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... patient with RUQ abd ... Labs: WBC 12.4, ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD
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 ... #Management #Algorithm
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... ERCP/cholecystectomy ... #BileDuct #CBD
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
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 ... #Difficult #ercp ... gastroenterology #management
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
Diverticulosis - IBD ... Algorithm SCAD ... Diverticulosis #IBD ... #Algorithm #IBDAlgorithm ... #management #gastroenterology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Common Causes ... papillae of tongue), abd ... diarrhea related to IBD ... previously dx'd associated ... • Labs: - CBC