50 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
with early-stage CKD ... patients with CKD ... edgarvlermamd - Nephrology ... Hyperparathyroidism #CKD ... #Nephrology #Management
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
time on pocus, CBD ... around in the CBD ... #BileDuct #CBD ... Choledocholithiasis #POCUS #clinical ... #ultrasound #biliary
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
compression of biliary ... tree(can be CHD ... or CBD that is ... Ultrasound #Gallstone #Clinical ... #Transverse #Biliary
Choledochodudodenal Fistula on Endoscopy
Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy.  I found
with cholangitis, dilated ... CHD and IHBDs, ... resulting in partial CBD ... gastroenterology #clinical
Complications of CKD
 - Patients with stages 1-3 ([GFR] >30 mL/min) of CKD are generally asymptomatic;
Complications of CKD ... >30 mL/min) of CKD ... in CKD stages 4 ... Pathophysiology #Nephrology ... #CKD #Complications
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Hx of AKI/CKD ... - BMP, cap, CBC ... 21% - AKI on CKD ... often prostate related ... AcuteKidneyInjury #AKI #Nephrology
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... mass in distal CBD ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound ... #clinical #biliary
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... dL Strong - Dilated ... CBD on US ( > 6 ... Choledocholithiasis #Biliary
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
(any) • US - Dilated ... Ducts - CBD ... stone, Biliary
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... tract of the MPD & CBD ... site - OTHERS: biliary ... #Selective #Biliary ... gastroenterology #management