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

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Algorithm Dr. ... @wabillin #PSC ... #IBD #Algorithm ... #IBDAlgorithm # ... gastroenterology #management
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... strictures (PSC ... of symptomatic stones ... of strictures, Stone ... #Indications #management
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
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 ... colorectal and hepato-biliary ... judicious use of ERCP ... liver disease management
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
ALP) Elevation - Differential ... Diagnosis Algorithm ... - Other biliary ... duct stricture/Stones ... #Diagnosis #Algorithm
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Liver Enzymes - Differential ... Diagnosis Algorithm ... Bile Ducts • PSC ... Common Bile Duct Stone ... • Biliary stricture
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... stone on transabdominal ... #Management #Algorithm ... Choledocholithiasis #Biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... • Imaging: US (biliary ... (necrosis, biliary ... , stones), CTA if ... gemfibrozil 600 bid
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury - Differential ... Diagnosis Algorithm ... stone, Malignancy ... injury #hepatitis #differential ... #diagnosis #algorithm
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

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