9 results
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... specific for the liver ... ALP - Biliary ... SinaiBmoreIMRes #Liver ... #FunctionTest #
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... This time on pocus ... #Choledocholithiasis ... #ultrasound #biliary
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... strong - CBD stone ... Moderate - Abnormal liver ... ERCP #Management #Algorithm ... #Biliary
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute Liver ... hepatitis, Acute biliary ... Extrahepatic • Biliary ... : Choledocholithiasis ... Causes #Acute #algorithm
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Artifact of CBD stone ... #POCUS Can also ... adenomyomatosis, calcified liver ... #biliary #clinical ... #ultrasound #pocus
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... : Choledocholithiasis ... , Biliary Stricture ... stone, Malignancy ... differential #diagnosis #algorithm
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... disturbance (obstructed liver ... Highest • Bone • Liver ... PSC - Other biliary ... duct stricture/Stones
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Differential Diagnosis Algorithm ... Common Bile Duct Stone ... • Biliary stricture ... Differential #Diagnosis #Algorithm
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD stone ... , Biliary stricture ... Transaminitis #Algorithm