31 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 ... cysts hatch in the duodenum ... 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
Duodenal knuckle perforation from prolonged ERCP

Andy Tau, MD @DrBloodandGuts

#Duodenal #knuckle #perforation #endoscopy #clinical #egd #gastroenterology
Duodenal knuckle ... from prolonged ERCP ... DrBloodandGuts #Duodenal ... endoscopy #clinical #egd
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 ... cysts hatch in the duodenum ... 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
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
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Dieulafoy lesion • Duodenum ... Lower #GIBleed #differential ... diagnosis #Causes #algorithm
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... Consult GI ± EGD ... UGIB #GIBleed #Differential ... Diagnosis #management #Algorithm
Emergency Department ED Chest Pain Evaluation Pathway

Dr. Reuben Strayer @ https://twitter.com/emupdates

#ChestPain #Evaluation #Algorithm #Pathway #EmergencyDepartment #Diagnosis
Emergency Department ED ... ChestPain #Evaluation #Algorithm ... Diagnosis #Management #Differential