12 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 #
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
Primary sclerosing cholangitis ... - Annual US or MRCP ... months +/- AFP CRC ... - IBD - Colonoscopy ... Primary #sclerosing #cholangitis
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... last 5yrs • PSC ... relative with CRC ... relative with CRC ... affecting <50% of colon
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
extra-hepatic bile ducts, commonly ... • CHOLANGITIS ... • COLITIS - PSC-IBD ... judicious use of ERCP ... with UDCA remains common
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
Differential Diagnosis Algorithm ... • Ischemic Colitis ... Adenoma • Colon ... Disease (Screen with CBC ... Differential #Diagnosis #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
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
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... Consult GI • Labs: CBC ... Endoscopy (Flex Sig or Colon ... CheckpointInhibitor #Colitis ... diagnosis #management #algorithm
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
in ulcerative colitis ... primary sclerosing cholangitis ... (PSC) should undergo ... Colorectal #Cancer #CRC ... #Colon #Screening
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
Epidemiology: • Most common ... Lymphocytosis on CBC ... Contamination, colitis