17 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... - PBC, PSC, Alcoholic ... - CBD stone, Biliary ... Transaminitis #Algorithm
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary Tract Diseases ... Oddi manometry • Bile ... Therapeutic ERCP ... major papilla #ERCP
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... • ALT & AST normal ... • Bilirubin - Normal ... No extrahepatic biliary ... malignancy #Primary #Biliary
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Autoimmune hepatitis, PBC ... Extrahepatic - Biliary ... function may be abnormal ... differential #diagnosis #algorithm
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Drugs - Primary biliary ... Cholangitis (PBC ... - Other biliary ... diseases/Bile duct
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... disease US — Normal ... PSC • Alcoholic ... Duct Stone • Biliary ... Differential #Diagnosis #Algorithm
Algorithm for the Diagnosis of Primary Biliary Cholangitis (PBC). 

US, ultrasound; MRCP, magnetic resonance cholangiopancreatography; ALP,
Algorithm for the ... Diagnosis of Primary Biliary ... Cholangitis (PBC ... US, ultrasound; MRCP ... #Cholangitis #PBC
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... gastrojejunotomy site ... - OTHERS: biliary ... #Selective #Biliary ... #Difficult #ercp
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
) PSC is a chronic ... extra-hepatic bile ... to multi-focal biliary ... colorectal and hepato-biliary ... judicious use of ERCP
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
WBC-16.8K. ... hepatic panel with normal ... MRCP performed. ... compression of biliary ... Clinical #Transverse #Biliary