6 results
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Cannulation (SBC ... insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... #Cannulation #SBC
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Biliary Cholangitis ... Recirculating System; CBD ... , common bile duct ... #Biliary #Cholangitis ... #Hepatology #Algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... Clinical Ascending cholangitis ... Strong - Dilated CBD ... Choledocholithiasis #Biliary
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... ERCP/cholecystectomy ... #BileDuct #CBD
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
The 6 C’s of Primary ... have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... patient with RUQ abd ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... ultrasound #clinical #biliary