6 results
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 ... hepatic panel with normal ... MRCP performed. ... compression of biliary ... or CBD that is
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Biliary Cannulation ... tract of the MPD & CBD ... #Selective #Biliary ... #ercp #gastroenterology ... #management #diagnosis
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... Moderate - Abnormal ... Choledocholithiasis #Biliary
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... - Differential Diagnosis ... Algorithm for Transaminitis ... Ducts - CBD ... stone, Biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... • Imaging: US (biliary ... , can be normal ... (necrosis, biliary ... low-fat (as safe as CLD
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... hepatic panel, normal ... CT scan and MRI/MRCP ... Diagnosed with cholangiocarcinoma ... #clinical #biliary