4 results
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
strong - CBD stone ... dL Strong - Dilated ... Moderate - Abnormal ... liver biochemical ... Choledocholithiasis #Biliary
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... (any) • US - Dilated ... Ducts - CBD stone ... , Biliary stricture
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... disease US — Normal ... Congenital US - Dilated ... Common Bile Duct Stone ... • Biliary stricture
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Duct on POCUS 50 ... hepatic panel, normal ... no definitive stones ... CT scan and MRI/MRCP ... #clinical #biliary