442 results
Choledochodudodenal Fistula on Endoscopy
Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy.  I found
cholangitis, dilated CHD ... bulb, weeping bile ... This was a bile ... resulting in partial CBD
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Syndrome (IBS) Treatment ... Algorithm IBS-Constipation ... Diarrhea: Loperamide, Bile ... Syndrome #IBS #Treatment ... #Management #Algorithm
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct ... (CBD) on Abdominal ... key to finding CBD ... the PV is the CBD ... jchristianfox #CBD
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... • US - Normal Bile ... • US - Dilated Bile ... Ducts - CBD ... Transaminitis #Algorithm
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... risk if colonic CD ... #Algorithm #gastroenterology ... #management #treatment
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Difficile Infection in IBD ... - IBD Algorithm ... Complications CDI Testing Algorithm ... #Algorithm #Management ... #Treatment #Gastroenterology
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 ... Dilated #BileDuct #CBD
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Differential Diagnosis Algorithm ... Artifact (redo CBC ... Inflammatory: • IBD ... effect following treatment ... Differential #Diagnosis #Algorithm
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... disease US — Normal Bile ... US - Dilated Bile ... Ducts • Common Bile ... Differential #Diagnosis #Algorithm
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 • IBS
 • Fibrostenotic
IBD - Assessment ... Malignancy • Other (bile ... mechanisms, Non-IBD ... Inflammatory mechanisms, IBD-related ... @JeanDonet #IBD