11 results
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
POCUS Can also be caused ... adenomyomatosis, calcified liver ... University of Michigan Ultrasound ... #biliary #clinical ... #ultrasound #pocus
UVJ Stone on Bladder Ultrasound - Sagittal
Patient has right distal UVJ stone with hydronephrosis and urinoma.
UVJ Stone on Bladder ... Ultrasound - Sagittal ... seen on sag bladder ... #Bladder #Ultrasound ... #Sagittal #clinical
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Highest • Bone • Liver ... Intestine - Other causes ... PSC - Other biliary ... duct stricture/Stones
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Differential Diagnosis Algorithm ... Common Bile Duct Stone ... • Biliary stricture ... #Causes
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... Here’s a similar case ... but there is a stone ... Choledocholithiasis #POCUS #clinical ... #ultrasound #biliary
UPJ Stone on Sagittal Bladder POCUS

4th grade female with right mid abdominal pain.  Brought from
UPJ Stone on Sagittal ... seeing on pelvis sag ... #Sagittal #Bladder ... #POCUS #clinical ... #ultrasound
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Vascular Causes ... Extrahepatic - Biliary ... stone, Malignancy ... differential #diagnosis #algorithm
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... HTN: ascites (SAAG ... sarcoidosis) • Liver ... metastasis • Fatty liver ... pregnancy • Primary biliary
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... /or suspicious clinical ... include extrahepatic biliary ... mellitus; USS, ultrasound ... LFTs #Abnormal #Algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... strong - CBD stone ... Moderate - Abnormal liver ... than 55 y - Clinical ... Choledocholithiasis #Biliary