19 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 ... wabillin #PSC #IBD ... #Algorithm #IBDAlgorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Clinical Ascending cholangitis ... dL Strong - Dilated ... Choledocholithiasis #Biliary
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
MRCP performed. ... compression of biliary ... or CBD that is ... #Liver #POCUS #Ultrasound ... Clinical #Transverse #Biliary
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
time on pocus, CBD ... also looks dilated ... henneberry_ryan #Dilated ... POCUS #clinical #ultrasound ... #biliary
Algorithm for the Diagnosis of Primary Biliary Cholangitis (PBC). 

US, ultrasound; MRCP, magnetic resonance cholangiopancreatography; ALP,
Algorithm for the ... Cholangitis (PBC ... US, ultrasound; ... MRCP, magnetic resonance ... #Cholangitis #PBC
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... ERCP/cholecystectomy ... pancreatitis or cholangitis ... POCUS #clinical #ultrasound ... gallbladder #clinical #ultrasound
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... Dilatation on Ultrasound ... Biliary Duct Compression ... Gallstones • Biliary ... Primary Sclerosing Cholangitis
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... CT scan and MRI/MRCP ... mass in distal CBD ... #CBD #POCUS #ultrasound ... #clinical #biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... (necrosis, biliary ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... , consider ERCP
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... to multi-focal biliary ... • CHOLANGITIS ... colorectal and hepato-biliary ... judicious use of ERCP