202 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 ... during ERCP in ... into the bile ducts ... Inside the bile ducts
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm ... gastroenterology #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... — Normal Bile Ducts ... • Common Bile Duct ... Others #LFTs #Hepatology ... Differential #Diagnosis #Algorithm
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
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 ... Inside the bile ducts ... Liver #Flukes #ERCP
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 ... image in the bile duct ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP
Biochemistry and Metabolism of Bilirubin
Hemolysis → Hemoglobin → Heme → Biliverdin → Unconjugated Bilirubin (a.k.a. "indirect
bile via hepatic ducts ... and common bile duct ... pathophysiology #hepatology
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... pseudocysts), Pancreatic duct ... Therapeutic ERCP ... major papilla #ERCP
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... - Normal Bile Ducts ... - Dilated Bile Ducts ... Transaminitis #Algorithm ... #diagnosis #hepatology