5 results
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... no definitive stones ... mass in distal CBD ... Diagnosed with cholangiocarcinoma ... RJonesSonoEM #Dilated #CBD
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
Very strong - CBD ... stone on transabdominal ... Clinical Ascending cholangitis ... Strong - Dilated CBD ... Choledocholithiasis #Biliary
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... cancers, including cholangiocarcinoma ... judicious use of ERCP
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
(necrosis, biliary ... , stones), CTA if ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
- Differential Diagnosis ... Algorithm for Transaminitis ... Ducts - CBD ... stone, Biliary ... #diagnosis #hepatology