7 results
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... stone on transabdominal ... Clinical Ascending cholangitis ... dL Strong - Dilated ... Choledocholithiasis #Biliary
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... no definitive stones ... CT scan and MRI/MRCP ... mass in distal CBD ... #clinical #biliary
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Congenital US - Dilated ... Common Bile Duct Stone ... • Biliary stricture ... Worms/flukes • Cholangiocarcinoma
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
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... TRV--note dilated ... Answer: MULTIPLE stones ... ERCP/cholecystectomy ... pancreatitis or cholangitis
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
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) • US - Dilated ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm