15 results
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ... ERCP Here are liver ... bile duct during ERCP ... cysts hatch in the duodenum ... parasites #clinical #EGD
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ... bile duct during ERCP ... cysts hatch in the duodenum ... #Flukes #ERCP # ... parasites #clinical #EGD
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... MRCP, ERCP, liver ... 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
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... Stabilization Concern for Liver ... Consult GI ± EGD ... GAVE (idiopathic, liver ... Diagnosis #management #Algorithm
Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
platelets >150 Liver ... Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... balloon enteroscopy, ERCP ... , Transjugular liver ... • Percutaneous liver ... tumor ablation, ERCP
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Cirrhosis - Management Algorithm ... cm, Preserved liver ... cm, Preserved liver ... transplantable HCC, End-stage ... Cirrhosis #Management #Algorithm
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
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
liver disease ... indications for liver ... judicious use of ERCP ... , and end-stage ... liver disease management