11 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 ... #IBD #Algorithm ... #IBDAlgorithm #
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... • CHOLANGITIS ... most frequent in ... • COLITIS - PSC-IBD ... judicious use of ERCP
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
SCAD: Segmental Colitis ... Associated with ... Algorithm SCAD ... #IBD #Algorithm ... #IBDAlgorithm #
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... rapidly progressive CKD ... sterile pyuria, WBC ... Received drug associated ... #Algorithm #nephrology
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... Clinical Ascending cholangitis ... with galbladder in
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
) Factors associated ... be too large, associated ... PAPILLA: when in ... tract of the MPD & CBD ... #Difficult #ercp
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
RUQ abdominal pain ... show elevated WBC ... MULTIPLE stones in ... ERCP/cholecystectomy ... pancreatitis or cholangitis
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Management of Pruritus in ... (PBC). ... Recirculating System; CBD ... #PBC #Management ... #Hepatology #Algorithm
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd ... Hgb 12.5, WBC 14 ... recurrentis has been associated ... subspecies, P. h. capitis ... cases have been associated
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... Consult GI • Labs: CBC ... consider early in ... CheckpointInhibitor #Colitis ... diagnosis #management #algorithm