51 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... US to look for ductal ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct ... Biliary Stone removal ... on ERCP Dr. ... DrJBerrueta #Biliary ... removal #extraction #ERCP
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... — Normal Bile Ducts ... Stone • Biliary ... Differential #Diagnosis #Algorithm ... #Causes
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
Causes of Increased Amylase (Hyperamylasemia)
Increased serum amylase is not always due to pancreatitis. Here are some
Causes of Increased ... are some other causes ... Pancreatitis, Pseudocyst, ERCP ... / Surgery, Biliary ... Mumps, Alcohol, Ductal
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Biliary Ascariasis ... Extraction on Endoscopy/ERCP ... image in the bile duct ... we perform an ERCP ... ManearrietaGar #Biliary
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... - Usually has Duct ... on Ultrasound Biliary ... Duct Compression ... #Causes #Hepatology
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 ... , infection or ductal
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
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
cholestasis, and some cases ... miscellaneous causes ... duct, sclerosing ... pressure on bile duct ... #differential #causes