84 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... Diagnosis Algorithm ... MRCP, ERCP, liver ... direct #bilirubin #Differential ... #Diagnosis #Algorithm
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Liver Enzymes - Differential ... Diagnosis Algorithm ... Congenital US - Dilated ... Duct Stone • Biliary ... #Diagnosis #Algorithm
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... This time on pocus ... CBD also looks dilated ... henneberry_ryan #Dilated ... clinical #ultrasound #biliary
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
Rads #Surgery #Differential ... #Venous #Gas #ERCP ... MesentericIschemia #Algorithm
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
Causes of Biliary ... Dilatation - Differential ... AUPBD • Stones: Biliary ... Dilatation #causes #differential ... gastroenterology #dilated
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... (any) • US - Dilated ... - CBD stone, Biliary ... Transaminitis #Algorithm
Causes of Increased Amylase (Hyperamylasemia)
Increased serum amylase is not always due to pancreatitis. Here are some
Pancreatitis, Pseudocyst, ERCP ... / Surgery, Biliary ... elevation #diagnosis #differential
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... dL Strong - Dilated ... pancreatitis #ERCP ... Choledocholithiasis #Biliary
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... Diagnosis Algorithm ... on Ultrasound Biliary ... Gallstones • Biliary ... #Diagnosis #Algorithm
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Diagnosis Algorithm ... cocaine: pupils dilate ... Adie's) Pupil (Ciliary ... #Diagnosis #Algorithm