10 results
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Clinical Ascending cholangitis ... dL Strong - Dilated ... Moderate - Abnormal ... Choledocholithiasis #Biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... 65 years PBC Pathophysiology ... No extrahepatic biliary ... sclerosis group cholangitis ... , IgG4 related disease
Algorithm for the Diagnosis of Primary Biliary Cholangitis (PBC). 

US, ultrasound; MRCP, magnetic resonance cholangiopancreatography; ALP,
Algorithm for the ... Diagnosis of Primary Biliary ... Cholangitis (PBC ... US, ultrasound; MRCP ... #Cholangitis #PBC
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... diagnosis, can be normal ... (necrosis, biliary ... (w/in 24h) if cholangitis ... , consider ERCP
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... (any) • US - Dilated ... - CBD stone, Biliary ... LFTs #Elevated #Abnormal
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... CMV), Alcohol-related ... Benign/malignant biliary ... cholangitis, Primary ... sclerosing cholangitis
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... disease US — Normal ... Congenital US - Dilated ... Duct Stone • Biliary ... Differential #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... include extrahepatic biliary ... ARLD, alcohol-related ... #Algorithm #Hepatology
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... hepatic panel, normal ... CT scan and MRI/MRCP ... RJonesSonoEM #Dilated ... ultrasound #clinical #biliary
IGG-4 RELATED DISEASE

WHAT?
 • A chronic, immune-mediated fibroinflammatory disease with tumefactive infiltration of IgG4+ plasma cells
IGG-4 RELATED DISEASE ... dysfunction PATHOPHYSIOLOGY ... " pancreas • Biliary ... IgG4-Sclerosing Cholangitis