233 results
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
90%) • Other: Jaundice ... HyperCa2+ • Other: ERCP ... • Imaging: US (biliary ... (necrosis, biliary ... Gallstones: Urgent ERCP
ACUTE CHOLANGITIS
Legend says that Cholangitis was first defined in 1877 by Jean-Martin Charcot, at which time
quadrant pain, and jaundice ... infection of the biliary ... commonly occurs post- ERCP ... individuals with 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 on ERCP ... DrJBerrueta #Biliary ... removal #extraction #ERCP
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
for Liver and Biliary ... erythema 2) Face: Jaundice ... Xanthelasma and jaundiced ... Bruising, Edema #biliary
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary Tract Diseases ... : • Biliary obstruction ... Therapeutic ERCP ... major papilla #ERCP
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... on Ultrasound Biliary ... Gallstones • Biliary ... Cholangitis #Jaundice
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Classification of Jaundice ... Dysfunction - Biliary ... certain drugs, biliary ... postoperative jaundice ... neoplasms #Jaundice
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the Biliary ... Symptomatic gallstones - Biliary ... cholecystitis - Biliary ... Asymptomatic or biliary ... pain, jaundice,
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Biliary Ascariasis ... Extraction on Endoscopy/ERCP ... we perform an ERCP ... ManearrietaGar #Biliary ... Ascariasis #Endoscopy #ERCP
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
MRCP performed. ... compression of biliary ... RUQ pain, fever, jaundice ... Clinical #Transverse #Biliary