9 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
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 • Autoimmune— PBC, PSC
 • Infection— liver
Causes of Fat Malabsorption ... - Differential ... Diagnosis Biliary ... choledocho/ithiasis Intestinal ... Celiac disease • IBD
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
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
ALP) Elevation - Differential ... Diagnosis Algorithm ... - Other causes ... elevation: • Intestine ... Cholangitis (PBC
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
(necrosis, biliary ... start with low-fat ... (as safe as CLD ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
- Differential ... Family history of IBD ... RUQ: • Biliary ... Diverticulitis • IBD ... • Intestinal
Oxalate & Secondary Hyperoxaluria
(1) High-oxalate diet (eg spinach, rhubarb)
(2) Fat malabsorption (IBD, s/p RYGB)
(3) Alterations in
rhubarb) (2) Fat ... malabsorption (IBD ... Alterations in intestinal ... Hyperoxaluria #causes ... #differential #
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Post Bariatric Intestinal ... (N/V bloating, abd ... Gastric bypass causes ... increased fat in ... risk is low • ERCP
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... in over 80% of cases ... Can have intestinal ... less alarming at ... pattern on your differential