12 results
Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
(PSC) and IBD - ... IBD Algorithm ... @wabillin #PSC ... #IBD #Algorithm ... #IBDAlgorithm #
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Tests - Differential ... Ducts - PBC ... , PSC, Alcoholic ... Ducts - CBD ... Biliary stricture, PSC
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
(PSC) PSC is a ... extra-hepatic bile ducts, commonly ... • COLITIS - PSC-IBD ... judicious use of ERCP ... with UDCA remains common
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Biliary Cirrhosis (PBC ... ) - Summary PBC ... Female:Male 9:1 • Common ... 30-65 years PBC ... bile ducts Differential
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Diagnosis Algorithm ... Malignancy Most common ... Primary biliary Cholangitis ... (PBC) - Other ... Infiltrative diseases - PSC
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 ... #Common #BileDuct
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 ... Moderate - Abnormal
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Diagnosis Algorithm ... disease US — Normal ... Bile Ducts • PSC ... Congenital US - Dilated ... Bile Ducts • 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
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... Labs: WBC 12.4, ... hepatic panel, normal ... CT scan and MRI/MRCP ... RJonesSonoEM #Dilated