353 results
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Mirizzi Syndrome ... Has Mirizzi's syndrome-Pt ... compression of biliary ... or CBD that is ... Clinical #Transverse #Biliary
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Dysfunction - Biliary ... certain drugs, biliary ... industrial toxins) • Biliary ... Choledocholithiasis, biliary ... , carcinoma of biliary
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 ... Dilated #BileDuct #CBD ... clinical #ultrasound #biliary
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct Biliary ... DrJBerrueta #Biliary ... gastroenterology #cbd
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
• Gilbert's Syndrome ... Crigler-Najjar Syndromes ... on Ultrasound Biliary ... Gallstones • Biliary
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 • Autoimmune— PBC, PSC
 • Infection— liver
Differential Diagnosis Biliary ... Shwachman-Diamond syndrome ... Celiac disease • IBD ... - CD, UC Altered ... • Short bowel syndrome
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary Tract Diseases ... : • Biliary obstruction ... strictures, Benign biliary ... pancreatitis), SOD, Sump syndrome ... pancreatitis (treatment
Hyperthermia Syndromes Comparison
Serotonin Syndrome - NMS - Malignant Hyperthermia - Malignant Catatonia
Cause - Onset - Vitals
Hyperthermia Syndromes ... Comparison Serotonin Syndrome ... Mental Status - Treatment ... #Hyperthermia #Syndromes
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... tract of the MPD & CBD ... ST upward (the BD ... site - OTHERS: biliary ... #Selective #Biliary
Common Biliary Diseases seen in the Emergency Room - Comparison Table:

Clinical Features, Labs, Imaging and Treatment

#Diagnosis
Common Biliary Diseases ... Labs, Imaging and Treatment