6 results
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... • COLITIS - PSC-IBD ... cancers, including cholangiocarcinoma ... judicious use of ERCP ... with UDCA remains common
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... Duct on POCUS 50 ... CT scan and MRI/MRCP ... #CBD #POCUS #ultrasound ... #clinical #biliary
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Bile Ducts • PSC ... Congenital US - Dilated ... Bile Ducts • Common ... Duct Stone • Biliary ... Worms/flukes • Cholangiocarcinoma
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
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Bile Duct on POCUS ... ERCP/cholecystectomy ... pancreatitis or cholangitis ... #CBD #POCUS #clinical
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Cholangitis (PBC ... Recirculating System; CBD ... , common bile duct ... #Cholangitis #PBC ... Management #Hepatology #Algorithm