34 results
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... bile duct during ERCP ... in a 20F with cholangitis ... Liver #Flukes #ERCP ... parasites #clinical #EGD
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... Diagnosis Algorithm ... MRCP, ERCP, liver ... direct #bilirubin #Differential ... #Diagnosis #Algorithm
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Hepatomegaly - Differential ... Diagnosis Algorithm ... • Bacterial Cholangitis ... #Hepatomegaly #Differential ... #Diagnosis #Algorithm
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
Rads #Surgery #Differential ... #Venous #Gas #ERCP ... MesentericIschemia #Algorithm
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 ... parasites #clinical #EGD
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Hyperamylasemia)- Differential ... Diagnosis Algorithm ... pancreatitis: eg ... fibrosis - Post ERCP ... #Diagnosis #Algorithm
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites - Differential ... Diagnosis Algorithm ... Primary biliary cholangitis ... Primary sclerosing cholangitis ... #Diagnosis #Algorithm
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Origin (FUO) - Differential ... Diagnosis Algorithm ... Sinusitis • Cholangitis ... • Protozoa (eg ... #Diagnosis #Algorithm
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
diet), Endoscopy (EGD ... +/- ERCP +/- colonoscopy ... ultrasound, or MRCP ... Workup #diagnosis #differential
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... progression to end-stage ... • CHOLANGITIS ... judicious use of ERCP ... , and end-stage