15 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
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Ducts - PBC ... , PSC, Alcoholic ... Ducts - CBD ... Biliary stricture, PSC
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Diagnosis Algorithm ... Malignancy Most common ... Primary biliary Cholangitis ... (PBC) - Other ... Infiltrative diseases - PSC
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
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Liver Enzymes - Differential ... Diagnosis Algorithm ... • Drugs • AIH ... Bile Ducts • PSC ... Bile Ducts • Common
Unintentional Weight Loss in Primary Care
 • Definition: More than 5% reduction in body weight within
than 5% reduction in ... -12 months, Is associated ... Baseline evaluation: CBC ... LDH, UA Most Common ... PrimaryCare #diagnosis #differential
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... (Commonly MPO-ANCA ... : (± 100 % Commonly ... ear disease Differential ... Lab Tests: • CBC
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Diagnosis: • ANCA-associated ... Antiribosomal P, APLA, PAC ... titers > 1:80 • CBC ... Kidney disease common