18 results
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary Tract Diseases ... pseudocysts), Pancreatic duct ... Therapeutic ERCP ... major papilla #ERCP
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... • PSC • Alcoholic ... Congenital US - Dilated ... Stone • Biliary ... Differential #Diagnosis #Algorithm
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
- Normal Bile Ducts ... - PBC, PSC ... (any) • US - Dilated ... Bile Ducts ... - CBD stone, Biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... intralobular bile ducts ... No extrahepatic biliary ... cholangitis, IgG4 related ... malignancy #Primary #Biliary
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
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... CBD also looks dilated ... henneberry_ryan #Dilated ... clinical #ultrasound #biliary
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Autoimmune hepatitis, PBC ... Extrahepatic - Biliary ... Surface of bile duct ... differential #diagnosis #algorithm
Dilated Cystic Duct with Spiral Valves of Heister on POCUS

Older male with RUQ/midepigastric pain with jaundice.
Dilated Cystic Duct ... of Heister on POCUS ... stone seen on MRCP ... Valves #Heister #POCUS ... clinical #ultrasound #biliary
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... Duct on POCUS 50 ... Labs: WBC 12.4, ... CT scan and MRI/MRCP ... #clinical #biliary
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
ESOPHAGEAL BALLOON DILATOR ... SAVARY GILLIARD DILATOR ... instruments in ERCP ... BALLOON DILATOR ... #devices #eus #ercp