1896 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
#Venous #Gas #ERCP ... MesentericIschemia #Algorithm
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... bile duct during ERCP ... Liver #Flukes #ERCP ... clinical #EGD #ERCP
ERCP - Obtaining a good Cholangiogram
 • General Tips
 • Patient Positioning
 • Image Capture
 •
ERCP - Obtaining ... @enrrikke #ERCP
How to remember Billroth Anatomy
Billroth I - 1 Limb
Billroth II - 2 Limbs

Dr. Keith Siau @drkeithsiau

#Billroth
How to remember Billroth ... Anatomy Billroth ... I - 1 Limb Billroth ... @drkeithsiau #Billroth
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... complications), MRCP ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
ALTERED ANATOMIES: Billroth ... SBC #Difficult #ercp
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... fibrosis - Post ERCP ... Differential #Diagnosis #Algorithm
The causes of Pancreatitis 
The mnemonic "l Get Smashed" 
is often found to be helpful. 

Idiopathic
Hypothermia ERCP
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Therapeutic ERCP ... major papilla #ERCP