130 results
Choledochodudodenal Fistula on Endoscopy
Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy.  I found
cholangitis, dilated CHD ... bulb, weeping bile ... This was a bile ... resulting in partial CBD ... gastroenterology #clinical
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct ... (CBD) on Abdominal ... key to finding CBD ... the PV is the CBD ... CommonBileDuct #clinical
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Here’s a similar case ... time on pocus, CBD ... around in the CBD ... Choledocholithiasis #POCUS #clinical
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... • US - Normal Bile ... • US - Dilated Bile ... Ducts - CBD ... Transaminitis #Algorithm
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... US - Dilated Bile ... Ducts • Common Bile ... Differential #Diagnosis #Algorithm ... #Causes
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 • IBS
 • Fibrostenotic
IBD - Assessment ... Malignancy • Other (bile ... mechanisms, Non-IBD ... @JeanDonet #IBD ... Differential #Diagnosis #Causes
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Causes of Thrombocytosis ... Differential Diagnosis Algorithm ... Artifact (redo CBC ... Differential #Diagnosis #Algorithm ... #Causes #Hematology
Causes of Polyneuropathy - Differential Diagnosis Algorithm
 • Metabolic: DM, Hypothyroidism, CKD, Cirrhosis, Nutritional deficiency
 •
Causes of Polyneuropathy ... Differential Diagnosis Algorithm ... Hypothyroidism, CKD ... Differential #Diagnosis #Algorithm ... #causes #neurology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Hx of AKI/CKD ... - BMP, cap, CBC ... rhabdo/TLS) Causes ... Nephrology #Diagnosis #Algorithm ... #Causes #Differential
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... Differential Diagnosis Algorithm ... NSAlDs • AKI/CKD ... Differential #Diagnosis #Algorithm ... #Causes