8 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 ... have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
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
Pancreas/Distal CBD ... dilated distal CBD ... CBD(6+)(Yikes!) ... ERCP/cholecystectomy ... #BileDuct #CBD
SLE (Systemic Lupus Erythematosus)

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

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Inflammatory Myopathies: Commonly ... Anti-TIF1 (cancer-associated ... Other Diseases: • PBC ... #rheumatology #differential