7 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Ducts - PBC ... (any) • US - Dilated ... - CBD stone, Biliary ... Transaminitis #Algorithm
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... Labs: WBC 12.4, ... CT scan and MRI/MRCP ... mass in distal CBD ... #clinical #biliary
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... dL Strong - Dilated ... Choledocholithiasis #Biliary
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Ducts • PSC ... Congenital US - Dilated ... Stone • Biliary ... Differential #Diagnosis #Algorithm
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
extra-hepatic bile ... to multi-focal biliary ... • COLITIS - PSC-IBD ... colorectal and hepato-biliary ... judicious use of ERCP
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Bile Duct on POCUS ... show elevated WBC ... TRV--note dilated ... ERCP/cholecystectomy
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Pruritus in Primary Biliary ... Cholangitis (PBC ... Recirculating System; CBD ... , common bile duct ... Management #Hepatology #Algorithm