25 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
time on pocus, CBD ... around in the CBD ... Dilated #BileDuct #CBD ... #Stone #Choledocholithiasis ... clinical #ultrasound #biliary
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... Strong - Dilated CBD ... ERCP #Management #Algorithm ... #Biliary
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Budd-Chiari syndrome Biliary ... "biliary colic") ... , Choledocholithiasis ... #RUQ #Pain #differential
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Liver Injury - Differential ... hepatitis, Acute biliary ... Extrahepatic • Biliary ... : Choledocholithiasis ... Causes #Acute #algorithm
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the Biliary ... cholecystitis - Biliary ... pain, nausea Choledocholithiasis ... Asymptomatic or biliary ... #diseases #differential
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Biliary colic 2. ... Choledocholithiasis ... Cholelithiasis #differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Dysfunction - Biliary ... certain drugs, biliary ... Obstruction - Choledocholithiasis ... , biliary atresia ... #unconjugated #differential
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... Diagnosis Algorithm ... on Ultrasound Biliary ... Gallstones • Biliary ... #Diagnosis #Algorithm
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury - Differential ... Diagnosis Algorithm ... : Choledocholithiasis ... injury #hepatitis #differential ... #diagnosis #algorithm