20 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
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
flukes (Fasciola hepatica ... in a 20F with cholangitis ... lining of the intestine ... migrate through the intestines ... #Fasciola #hepatica
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
flukes (Fasciola hepatica ... bile duct during ERCP ... in a 20F with cholangitis ... lining of the intestine ... Liver #Flukes #ERCP
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Obstructive pattern on hepatic ... MRCP performed. ... compression of biliary ... or CBD that is ... Clinical #Transverse #Biliary
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... on Ultrasound Biliary ... Gallstones • Biliary ... Primary Sclerosing Cholangitis ... Differential #Diagnosis #Algorithm
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Liver (80%) • Intestine ... elevation: • Intestine ... elevation DDX of Hepatic ... Cholangitis (PBC
ACUTE CHOLANGITIS
Legend says that Cholangitis was first defined in 1877 by Jean-Martin Charcot, at which time
ACUTE CHOLANGITIS ... presence of increased hepatic ... infection of the biliary ... commonly occurs post- ERCP ... individuals with biliary
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 ... Choledocholithiasis #Biliary
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Differential Diagnosis Algorithm ... Hypertension - Hepatic ... failure • Primary biliary ... cholangitis • ... Hypertension - Post-Hepatic
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
intra- and extra-hepatic ... to multi-focal biliary ... • CHOLANGITIS ... colorectal and hepato-biliary ... judicious use of ERCP