9 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
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Adult male-RUQ abd ... Obstructive pattern ... MRCP performed. ... or CBD that is
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
an obstructive pattern ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD ... clinical #ultrasound #biliary
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... Clinical Ascending cholangitis ... Strong - Dilated CBD ... #Management #Algorithm
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... 12.4, obstructive pattern ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... #clinical #biliary
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 ... of UDCA for all patietns
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Hepatocellular Pattern ... dz Cholestatic Pattern ... Ducts - CBD ... stone, Biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... (necrosis, biliary ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Schema for the Management ... Pruritus in Primary Biliary ... Cholangitis (PBC ... Recirculating System; CBD ... #Algorithm