8 results
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
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
- Differential Diagnosis ... Algorithm for Transaminitis ... Ducts - CBD ... stone, Biliary ... #LiverFunctionTests
Asymptomatic Ileitis - IBD Algorithm

 • Found on 0.1-21% of non-diagnostic colonoscopies
 • Low likelihood of
Asymptomatic Ileitis - IBD ... 0.1-21% of non-diagnostic ... of representing CD ... progresses to CD ... #IBD #Algorithm
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... 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
patient with RUQ abd ... mass in distal CBD ... Diagnosed with cholangiocarcinoma ... RJonesSonoEM #Dilated #CBD ... ultrasound #clinical #biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... (necrosis, biliary ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... SBC #Difficult #ercp ... gastroenterology #management #diagnosis
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Pruritus in Primary Biliary ... Cholangitis (PBC ... Recirculating System; CBD ... #Cholangitis #PBC ... Management #Hepatology #Algorithm