14 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Ducts - PBC ... , PSC, Alcoholic ... Ducts - CBD ... stone, Biliary ... stricture, PSC,
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
biliary strictures (PSC ... of symptomatic stones ... fluid collections (PFC ... of strictures, Stone ... pancreatoscopy, Drainage of PFC
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
sclerosing cholangitis (PSC ... - Annual US or MRCP ... & CA 19-9 Gallbladder ... /- AFP CRC - IBD ... #cholangitis #PSC
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
) PSC is a chronic ... • COVERT - PSC ... • COLITIS - PSC-IBD ... carcinoma, and gallbladder ... judicious use of ERCP
Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Sclerosing Cholangitis (PSC ... ) and IBD - IBD ... Algorithm Dr. ... @wabillin #PSC ... #IBD #Algorithm
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... biliary Cholangitis (PBC ... Infiltrative diseases - PSC ... duct stricture/Stones ... Differential #Diagnosis #Algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... stone on transabdominal ... ( > 6 mm with galbladder
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Autoimmune hepatitis, PBC ... , PSC, IgG4, HLH ... Obstruction: Biliary stone ... , Malignancy, PBC ... , PSC, Cystic fibrosis
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
show elevated WBC ... Answer: MULTIPLE stones ... in CBD(6+)(Yikes ... ERCP/cholecystectomy ... clinical #ultrasound #gallbladder
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Bile Ducts • PSC ... Common Bile Duct Stone ... Differential #Diagnosis #Algorithm