147 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 ... duct during ERCP ... , and into the bile ... Inside the bile
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... MRCP, ERCP, liver ... direct #bilirubin #Differential
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct ... Stone removal on ERCP ... removal #extraction #ERCP
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Extraction on Endoscopy/ERCP ... pancreatitis and a MRCP ... tubular image in the bile ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
extracted from the bile ... duct during ERCP ... , and into the bile ... Inside the bile ... Liver #Flukes #ERCP
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Oddi manometry • Bile ... Therapeutic ERCP ... major papilla #ERCP
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Liver Enzymes - Differential ... disease US — Normal Bile ... US - Dilated Bile ... Ducts • Common Bile ... #LiverEnzymes #Differential
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
Rads #Surgery #Differential ... #Venous #Gas #ERCP
The causes of Pancreatitis 
The mnemonic "l Get Smashed" 
is often found to be helpful. 

Idiopathic
Hypothermia ERCP ... Pregnancy) #Differential
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Classification of ... genes coding for bile ... external pressure on bile ... #Jaundice #Classification ... #unconjugated #differential