65 results
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Ascariasis - Balloon Extraction ... on Endoscopy/ERCP ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP ... #clinical #EGD
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oxygen delivery or extraction ... , resulting in end-organ ... cell death -> end-organ ... and altered O2 extraction ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oxygen delivery or extraction ... , resulting in end-organ ... cell death -> end-organ ... and altered O2 extraction ... #differential #causes
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Distributive Shock ... Hypovolemic Shock ... differential #diagnosis #algorithm ... #causes
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... - Distributive Shock ... Differential #Diagnosis #Algorithm ... #causes
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... of Shock HEMORRHAGIC ... SHOCK • Ensure ... when possible (eg ... , traction for long
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... Pancreatic causes ... pancreatitis: eg ... fibrosis - Post ERCP ... Non-pancreatic causes
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Obstructive Shock ... in blood flow caused ... Depends on the cause ... myocardial infarction. end-stage
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis Algorithm ... • Neurogenic shock ... Differential #Diagnosis #Algorithm ... #shock #causes