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clinical diagnosis ultrasound cbd hepatology differential gastroenterology ercp endoscopy liver bileduct stone abdominal causes cholangitis extraction gallbladder management primary removal
Mechanism of Action of Bile Acid Sequestrants Bile Acid Sequestrants → ↓ Hepatic Bile Acid Pool →
Mechanism of Action of Bile ... Sequestrants Bile ... Sequestrants → ↓ Hepatic Bile ... Pool → ↑ Hepatic Bile ... Plasma LDL-C #biliary
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Differential Diagnosis Algorithm ... disease US — Normal Bile ... US - Dilated Bile ... Ducts • Common Bile ... Duct Stone • Biliary
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... • US - Normal Bile ... • US - Dilated Bile ... - CBD stone, Biliary ... Transaminitis #Algorithm
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Primary Biliary ... small intralobular bile ... of intralobular bile ... of interlobular bile ... related disease, Bile
Liver Function Test (LFTs) Elevation AST - Cardiac and skeletal muscle, kidney, brain ALT - More specific for
the liver ALP - Biliary ... tree or bile flow ... abnormality vs bone Bili
Common Bile Duct Stone on POCUS Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... This time on pocus ... Choledocholithiasis #POCUS ... clinical #ultrasound #biliary
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 Common Bile Duct Biliary Stone removal on ERCP Dr. Joaquín Berrueta Mezzera @DrJBerrueta #Biliary #Stone #removal #extraction #ERCP
Common Bile Duct ... Biliary Stone removal ... DrJBerrueta #Biliary
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 Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Differential Diagnosis Algorithm ... Extrahepatic - Biliary ... ALP - Surface of bile ... - Cholestasis/Bile ... differential #diagnosis #algorithm
Alpha-gal Syndrome (AGS) - Diagnosis Algorithm Does patient have recurrent episodes of urticaria, angioedema or isolated GI
AGS) - Diagnosis Algorithm ... - Known tick bites ... irritation at site ... of tick bite • ... AGS #Diagnosis #Algorithm
Classification of Jaundice Unconjugated hyperbilirubinemia (predominantly indirect bilirubin) • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
genes coding for bile ... Dysfunction - Biliary ... certain drugs, biliary ... , carcinoma of biliary ... external pressure on bile
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