34 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
(ALT or AST > ALP ... Wilsons, Pregnancy - AFLP ... Cholestatic Pattern (ALP ... - CBD stone, Biliary
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct Biliary ... Stone removal on ERCP ... DrJBerrueta #Biliary ... removal #extraction #ERCP
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary Tract Diseases ... : • Biliary obstruction ... Therapeutic ERCP ... major papilla #ERCP
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Alkaline Phosphatase (ALP ... - Increased ALP ... Drugs - Primary biliary ... PSC - Other biliary ... #Phosphatase #ALP
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Biliary Ascariasis ... Extraction on Endoscopy/ERCP ... we perform an ERCP ... ManearrietaGar #Biliary ... Ascariasis #Endoscopy #ERCP
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... • Imaging: US (biliary ... (necrosis, biliary ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
for the liver ALP ... - Biliary tree ... Transaminase, ALP ... / ULN ALT) / (ALP ... / ULN ALP)
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Extrahepatic - Biliary ... Choledocholithiasis, Biliary ... - Obstruction: Biliary ... • AST/ALT > ALP ... disease - If ALP
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
• Pregnancy - AFLP ... Duct Stone • Biliary
Cholangiogram Biliary Anatomy on ERCP

#Cholangiogram #Biliary #Anatomy #hepatology #ercp
Cholangiogram Biliary ... Anatomy on ERCP ... Cholangiogram #Biliary ... Anatomy #hepatology #ercp