30 results
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
90%) • Other: Jaundice ... • Imaging: US (biliary ... (necrosis, biliary ... (w/in 24h) if cholangitis ... Management #Treatment #Gastroenterology
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 ... #gastroenterology
Summary table of comparison of the difference between primary biliary cholangitis (PBC) and primary sclerosing cholangitis
between primary biliary ... cholangitis (PBC ... primary sclerosing cholangitis ... differential #hepatology #gastroenterology
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... on Ultrasound Biliary ... Gallstones • Biliary ... Primary Sclerosing Cholangitis ... #Jaundice #Differential
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Classification of Jaundice ... postoperative jaundice ... mononucleosis, cholangitis ... duct, sclerosing cholangitis ... neoplasms #Jaundice
ACUTE CHOLANGITIS
Legend says that Cholangitis was first defined in 1877 by Jean-Martin Charcot, at which time
ACUTE CHOLANGITIS ... quadrant pain, and jaundice ... infection of the biliary ... commonly occurs post- ERCP ... individuals with biliary
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary Tract Diseases ... Therapeutic ERCP ... major papilla #ERCP ... Indications #management #gastroenterology
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 ... Ascaris #parasite #gastroenterology
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
Primary sclerosing cholangitis ... - Annual US or MRCP ... Primary #sclerosing #cholangitis ... #Surveillance #Gastroenterology
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... bile duct during ERCP ... in a 20F with cholangitis ... Liver #Flukes #ERCP ... #gastroenterology