16 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
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... diet), Endoscopy (EGD ... +/- ERCP +/- colonoscopy ... ultrasound, or MRCP ... Chronic #Diarrhea #Workup
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
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... Imaging findings Workup ... Gallstones: Urgent ERCP ... (w/in 24h) if cholangitis ... , consider ERCP
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
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... pancreatitis: eg ... fibrosis - Post ERCP ... Differential #Diagnosis #Algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Colonoscopy +/- EGD ... #Diarrhea #Workup ... #Management #Algorithm
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Differential Diagnosis Algorithm ... Sinusitis • Cholangitis ... • Protozoa (eg ... Differential #Diagnosis #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
obstruction without cholangitis ... : ERCP incomplete ... obstruction without cholangitis ... : ERCP complete ... Prophylaxis #Endoscopy #EGD
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... evaluation or workup ... 1,500 cells/µL Workup ... signs or symptoms (eg ... Eosinophil #Disorders #Algorithm