69 results
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... extracted from the bile ... , and into the bile ... Inside the bile ... hepatica #parasites #clinical
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... Differential #Diagnosis #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
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
extracted from the bile ... duct during ERCP ... Inside the bile ... Liver #Flukes #ERCP ... hepatica #parasites #clinical
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Extraction on Endoscopy/ERCP ... tubular image in the bile ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP ... #clinical #EGD
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... Differential #Diagnosis #Algorithm
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Vascular Causes ... - Cholestasis/Bile ... Unconjugated Bili ... differential #diagnosis #algorithm
Hemolytic Anemia - Differential Diagnosis Algorithm
Hereditary:
 • Peripheral blood smear + DAT + further History
 •
Differential Diagnosis Algorithm ... further History • Bite ... Differential #Diagnosis #Algorithm ... #causes
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Intestine - Other causes ... biliary diseases/Bile ... Differential #Diagnosis #Algorithm
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
energy or heat to cause ... instruments in ERCP ... stones in the bile ... stones in the bile ... pictures as it passes