10 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... Definition: T.bili elevation ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... MRCP performed. ... compression of biliary ... Syndrome #Liver #POCUS ... Clinical #Transverse #Biliary
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 ... drkeithsiau #Amylase #elevation
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Intestine - Other causes ... Drugs - Primary biliary ... PSC - Other biliary ... Differential #Diagnosis #Algorithm
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... Here’s a similar case ... This time on pocus ... , CBD also looks ... clinical #ultrasound #biliary
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... Strong - Dilated CBD ... Choledocholithiasis #Biliary
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... CT scan and MRI/MRCP ... mass in distal CBD ... #POCUS #ultrasound ... #clinical #biliary
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Vascular Causes ... Bilirubin - +/- elevation ... of Liver Enzyme Elevation ... differential #diagnosis #algorithm
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... #POCUS Can also ... be caused by adenomyomatosis ... #stone #biliary ... clinical #ultrasound #pocus
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
energy or heat to cause ... instruments in ERCP ... visualize ampulla; elevator ... pictures as it passes ... #devices #eus #ercp