242 results
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
Acute Dacryocystitis ... congenital nasolacrimal duct ... instances, acute dacryocystitis ... #peds #acute #dacryocystitis ... #nasolacrimal #duct
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
— Normal Bile Ducts ... - Dilated Bile Ducts ... • Common Bile Duct ... Stone • Biliary
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
- Usually has Duct ... on Ultrasound Biliary ... Duct Compression ... Gallstones • Biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... intralobular bile ducts ... intralobular bile ducts ... No extrahepatic biliary ... malignancy #Primary #Biliary
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Dysfunction - Biliary ... certain drugs, biliary ... , carcinoma of biliary ... duct, sclerosing ... pressure on bile duct
Classification for benign biliary strictures
Bismuth classification
I - Low CHD stricture, > 2 cm distal to hilum
II
Classification for benign biliary ... left and right ducts ... continuity with biliary ... continuity with biliary ... Classification #biliary
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct ... Biliary Stone removal ... DrJBerrueta #Biliary
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 ... pseudocysts), Pancreatic duct
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
access to both biliary ... sweeping of the biliary ... DILATOR - For biliary ... collection of biliary ... • BILIARY METALLIC
Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
Primary Biliary ... gradual loss of bile ducts ... inflammation and biliary ... #PBC #Primary #Biliary