9 results
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
in a 20F with cholangitis ... lining of the intestine ... migrate through the intestines ... hepatica #parasites #clinical ... #EGD #ERCP #gastroenterology
Choledochodudodenal Fistula on Endoscopy
Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy.  I found
admitted with cholangitis ... , dilated CHD and ... resulting in partial CBD ... Fistula #Endoscopy #EGD ... gastroenterology #clinical
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
bile duct during ERCP ... in a 20F with cholangitis ... Liver #Flukes #ERCP ... hepatica #parasites #clinical ... #EGD #Endoscopy
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... Ascending cholangitis ... Strong - Dilated CBD
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... • CHOLANGITIS ... judicious use of ERCP ... , and end-stage ... remain subject to clinical
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... ERCP/cholecystectomy ... Common #BileDuct #CBD
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Differential Diagnosis Algorithm ... Hypertension with end-organ ... based on repeat clinic ... syndrome • AKI/CKD ... Differential #Diagnosis #Algorithm
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... Algorithm 1. ... guidelines for CAD ... Enroll in HFpEF clinical ... trial #HFpEF #CAD
Celiac disease is an immune-mediated, multisystem disorder that affects genetically susceptible individuals who are exposed to
causing small intestinal ... CD can be associated ... primary biliary cholangitis ... primary sclerosing cholangitis ... test for whom clinical