1984 results
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... with Symptomatic Choledocholithiasis ... ERCP #Management #Algorithm ... #Choledocholithiasis ... #Biliary
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
hepatitis, Acute biliary ... Extrahepatic • Biliary ... : Choledocholithiasis ... Causes #Acute #algorithm
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Extrahepatic - Biliary ... : Choledocholithiasis ... , Biliary Stricture ... differential #diagnosis #algorithm
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the Biliary ... Symptomatic gallstones - Biliary ... cholecystitis - Biliary ... pain, nausea Choledocholithiasis ... Asymptomatic or biliary
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Budd-Chiari syndrome Biliary ... "biliary colic") ... , Choledocholithiasis
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Biliary colic 2. ... Choledocholithiasis
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary Tract Diseases ... : • Biliary obstruction ... : Choledocholithiasis ... , Malignant biliary ... strictures, Benign biliary
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Dysfunction - Biliary ... certain drugs, biliary ... Obstruction - Choledocholithiasis ... , biliary atresia ... , carcinoma of biliary
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
BileDuct #CBD #Stone #Choledocholithiasis ... clinical #ultrasound #biliary
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... on Ultrasound Biliary ... Gallstones • Biliary ... Differential #Diagnosis #Algorithm