2637 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
MRCP, ERCP, liver
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... complications), MRCP ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... bile duct during ERCP ... Liver #Flukes #ERCP ... clinical #EGD #ERCP
Superior Vena Cava Syndrome on Physical Exam

Prominent dilated collateral veins are seen bypassing the SVC obstruction

#SVC
Exam Prominent dilated ... PhysicalExam #clinical #video
Hypertrophic, Dilated and Arrhythmogenic Cardiomyopathy - Comparison

#Hypertrophic #Dilated #Arrhythmogenic #Cardiomyopathy #Comparison #Diagnosis #Management #Cardiomyopathies #Cardiology
Hypertrophic, Dilated ... #Hypertrophic #Dilated
ERCP - Obtaining a good Cholangiogram
 • General Tips
 • Patient Positioning
 • Image Capture
 •
ERCP - Obtaining ... @enrrikke #ERCP
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
#Venous #Gas #ERCP
The causes of Pancreatitis 
The mnemonic "l Get Smashed" 
is often found to be helpful. 

Idiopathic
Hypothermia ERCP
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Endoscopy (EGD +/- ERCP ... ultrasound, or MRCP
Tongue Myotonia on Physical Exam

Delayed muscle relaxation was seen after tongue percussion.

#Tongue #Myotonia #PhysicalExam #clinical #video
Physical Exam Delayed ... PhysicalExam #clinical #video