10 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 #
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
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... strong - CBD stone ... Moderate - Abnormal liver ... Choledocholithiasis #Biliary
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
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Extrahepatic - Biliary ... - Obstruction: Biliary ... stone, Malignancy ... differential #diagnosis #algorithm
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... MRCP performed. ... compression of biliary ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... no definitive stones ... CT scan and MRI/MRCP ... #Dilated #CBD #POCUS ... ultrasound #clinical #biliary
Dilated Cystic Duct with Spiral Valves of Heister on POCUS

Older male with RUQ/midepigastric pain with jaundice.
of Heister on POCUS ... no obstructing stone ... seen on MRCP. ... Valves #Heister #POCUS ... clinical #ultrasound #biliary