2977 results
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
relieve obstruction, Papillary ... neoplasms of the major papilla ... #Indications #management
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
SBC: - SMALL PAPILLA ... - EXTRA LARGE PAPILLA ... the larger the papilla ... LOCATION OF THE PAPILLA ... gastroenterology #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Mechanical Defect (papillary ... inopressors #diagnosis #management
Basics of ERCP and Biliary Cannulation
 - Tools of the Trade - Duodenoscope
 - Passing the
- Positioning Papilla ... Inspection of Papilla ... gastroenterology #management
Upper Extremity Nerve Blocks
Interscalene, Supraclavicular, Infraclavicular, Axillary - Indications, positioning, and anatomy
#Management #Regional #Anesthesia #Local #Upper
Infraclavicular, Axillary ... , and anatomy #Management ... Infraclavicular #Axillary
Papillary Muscle Rupture on POCUS

See the "cracking whip"?  This is what papillary muscle rupture looks
Papillary Muscle ... This is what papillary ... @EM_RESUS #Papillary
POCUS - Regional Anesthesia - Upper Limb Local Nerve Blocks

 - Interscalene
 - Supraclavicular
 - Infraclavicular
Infraclavicular - Axillary ... - Obturator #Management ... Infraclavicular #Axillary
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
Afferent Pupillary ... Defect An afferent pupillary ... neurologiabr #Afferent #Pupillary
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Hypothyroid) Increased Capillary ... Pregnancy Decreased Capillary ... Cirrhosis Increased Capillary
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
tenderness, loss of papillae ... Deficiency #diagnosis #management