1933 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm
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 ... Keith Siau @drkeithsiau ... Liver #Flukes #ERCP ... clinical #EGD #ERCP
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
#Venous #Gas #ERCP ... MesentericIschemia #Algorithm
Dyspepsia Management Algorithm (NICE Guidelines)
 • Alarm Symptoms
 • Endoscopy
 • Imaging
 • Management

Dr. Keith Siau
Dyspepsia Management Algorithm ... Keith Siau @drkeithsiau ... Dyspepsia #Management #Algorithm
Causes of Increased Amylase (Hyperamylasemia)
Increased serum amylase is not always due to pancreatitis. Here are some
Pancreatitis, Pseudocyst, ERCP ... Keith Siau @drkeithsiau
ERCP - Obtaining a good Cholangiogram
 • General Tips
 • Patient Positioning
 • Image Capture
 •
ERCP - Obtaining ... @enrrikke #ERCP
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... complications), MRCP ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... fibrosis - Post ERCP ... Differential #Diagnosis #Algorithm
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
bile duct during ERCP ... Keith Siau @drkeithsiau ... Liver #Flukes #ERCP
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Therapeutic ERCP ... major papilla #ERCP