11 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... , CBD also looks ... dilated, but there ... #ultrasound #biliary
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
Causes of Biliary ... Pancreatic tumour, Cholangiocarcinoma ... diverticulum, AUPBD • Stones ... : Biliary stone( ... gastroenterology #dilated
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Duct on POCUS 50 ... no definitive stones ... mass in distal CBD ... #CBD #POCUS #ultrasound ... #clinical #biliary
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... out this dancing CBD ... #POCUS Can also ... #stone #biliary ... clinical #ultrasound #pocus
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Cystic Duct Stone ... on Biliary POCUS ... This stone is lodged ... CBD is also dilated ... #Biliary #POCUS
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Congenital US - Dilated ... Common Bile Duct Stone ... • Biliary stricture ... Worms/flukes • Cholangiocarcinoma
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
(any) • US - Dilated ... Ducts - CBD ... stone, Biliary
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
Very strong - CBD ... stone on transabdominal ... dL Strong - Dilated ... CBD on US ( > 6 ... Choledocholithiasis #Biliary
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Bile Duct on POCUS ... distal CBD. ... Answer: MULTIPLE stones ... in CBD(6+)(Yikes ... #POCUS #clinical
Choledocholithiasis on POCUS RUQ

Transducer positioned anteriorly over RUQ (top of the screen = anterior) demonstrating the
Choledocholithiasis on POCUS ... anterior to IVC) & dilated ... Note the stone with ... lodged in the CBD ... #clinical #CBD