8 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 ... Recommendations Cholangiocarcinoma ... - Annual US or MRCP ... /- AFP CRC - IBD
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
Algorithm for the Diagnosis of Primary Biliary Cholangitis (PBC). 

US, ultrasound; MRCP, magnetic resonance cholangiopancreatography; ALP,
Biliary Cholangitis ... US, ultrasound; ... MRCP, magnetic resonance ... #Biliary #Cholangitis ... #PBC #Algorithm
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... #POCUS #ultrasound ... #clinical #biliary
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... Dilatation on Ultrasound ... Stricture • Cholangiocarcinoma ... • Primary Sclerosing ... Cholangitis
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 ... Choledocholithiasis #Biliary
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
of Pruritus in Primary ... Biliary Cholangitis ... Recirculating System; CBD ... #Biliary #Cholangitis ... #Hepatology #Algorithm