10 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 ... #IBD #Algorithm ... #IBDAlgorithm #
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
Primary sclerosing ... cholangitis (PSC ... - 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
The 6 C’s of Primary ... have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Differential Diagnosis Algorithm ... Artifact (redo CBC ... Myelogenous Leukemia • Primary ... Inflammatory: • IBD ... • Burns Non malignant
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Biliary Cholangitis ... (PBC). ... Recirculating System; CBD ... , common bile duct ... #Hepatology #Algorithm
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Leukocytes • Malignancy ... Most common ... - Drugs - Primary ... biliary Cholangitis ... (PBC) - Other
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
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 ... papilla or duodenum, malignancy ... #Difficult #ercp
Unintentional Weight Loss in Primary Care
 • Definition: More than 5% reduction in body weight within
Weight Loss in Primary ... -12 months, Is associated ... Baseline evaluation: CBC ... LDH, UA Most Common ... Causes: - Malignancy
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
the context of primary ... Pleural/pericardial/abd ... titers > 1:80 • CBC ... Kidney disease common ... Associated with