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 ... wabillin #PSC #IBD ... #Algorithm #IBDAlgorithm
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Pancreas/Distal CBD ... distal CBD. ... MULTIPLE stones in CBD ... #CBD #POCUS #clinical
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... Clinical Ascending cholangitis ... dL Strong - Dilated ... CBD on US ( > 6
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... time on pocus, CBD ... around in the CBD ... #BileDuct #CBD ... POCUS #clinical #ultrasound
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... patient with RUQ abd ... CT scan and MRI/MRCP ... mass in distal CBD ... #CBD #POCUS #ultrasound
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... good for SB and colon ... #IUS #IBD #Algorithm ... #IBDAlgorithm #
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP ... with UDCA remains common
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 • CBD stone visualized
High Risk • CBD ... imaging or • Cholangitis ... common bile duct ... Age > 55 or • Dilated ... common bile duct
Choledocholithiasis on POCUS RUQ

Transducer positioned anteriorly over RUQ (top of the screen = anterior) demonstrating the
anterior to IVC) & dilated ... common bile duct ... lodged in the CBD ... POCUS #clinical #CBD ... dilatation #abdominal #ultrasound
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

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