64 results
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... from the bile duct ... into the bile ducts ... Inside the bile ducts ... 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 ... — Normal Bile Ducts ... • Common Bile Duct ... Differential #Diagnosis #Algorithm ... #Causes
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
from the bile duct ... during ERCP in ... into the bile ducts ... 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 ... image in the bile duct ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP ... #clinical #EGD
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... - Usually has Duct ... Ultrasound Biliary Duct ... Differential #Diagnosis #Algorithm ... #Causes #Hepatology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
palliative treatment ERCP ... energy or heat to cause ... instruments in ERCP ... pictures as it passes ... #devices #eus #ercp
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
Neck Mass - Differential Diagnosis Algorithm
Congenital Neck Mass:
 • Thyroglossal Duct Cyst
 • Branchial Cleft Anomalies
Differential Diagnosis Algorithm ... • Thyroglossal Duct ... 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 ... diseases/Bile duct ... Differential #Diagnosis #Algorithm