7 results
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... stone on transabdominal ... Clinical Ascending cholangitis ... Choledocholithiasis #Biliary
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... on Ultrasound Biliary ... Stricture • Cholangiocarcinoma ... Primary Sclerosing Cholangitis ... #Causes #Hepatology
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
no definitive stones ... CT scan and MRI/MRCP ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... ultrasound #clinical #biliary
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Common Bile Duct Stone ... • Biliary stricture ... Worms/flukes • Cholangiocarcinoma ... #Causes
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... • CHOLANGITIS ... colorectal and hepato-biliary ... cancers, including cholangiocarcinoma ... judicious use of ERCP
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... (necrosis, biliary ... , stones), CTA if ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Intestine - Other causes ... Cholangitis (PBC ... PSC - Other biliary ... duct stricture/Stones