42 results
Protruding / Bulging Papilla on ERCP biliary stone extraction

- Dr. Bibek Purbey

#Protruding #Bulging #Papilla #ERCP #endoscopy
on ERCP biliary stone ... ERCP #endoscopy #gastroenterology ... #clinical #choledocholithiasis ... #stone
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... but there is a stone ... BileDuct #CBD #Stone ... #Choledocholithiasis ... #POCUS #clinical
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary obstruction: Choledocholithiasis ... of strictures, Stone ... Indications #management #gastroenterology
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... strong - CBD stone ... transabdominal US - Clinical ... than 55 y - Clinical ... ERCP #Management #Algorithm
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 • CBD stone visualized
Cholelithiasis - Risk of Choledocholithiasis ... High Risk • CBD stone ... Low Risk • None ... Cholelithiasis #Risk #Choledocholithiasis ... #Management #Gastroenterology
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
age and muscle tone ... infant with normal tone ... #PhysicalExam #clinical ... #video #hypotonia ... peds #pediatrics #tone
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... decision algorithm ... diagnosis #management #gastroenterology
Suggested algorithm for bone marrow biopsy and skeletal imaging in patients with monoclonal gammopathy of undetermined
Suggested algorithm ... for bone marrow ... significance (MGUS) A bone ... whom there are no clinical ... #MGUS #Biopsy #algorithm
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Extrahepatic - Biliary: Choledocholithiasis ... Obstruction: Biliary stone ... hemolysis) • ALP: Bone ... differential #diagnosis #algorithm
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Proposed Algorithm ... Clinicoradiological Findings → Clinical ... Involvement in at least one ... #Sarcoidosis #Algorithm