78 results
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
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... of symptomatic stones ... Therapeutic ERCP ... of strictures, Stone ... #Indications #management
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Diagnosis and Management ... HyperCa2+ • Other: ERCP ... necrosis, biliary, stones ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Causes of Nephrolithiasis ... Differential Diagnosis Algorithm ... Uric Acid Stones ... Differential #Diagnosis #Algorithm ... #Causes
Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,
Causes of Urinary ... Differential Diagnosis Algorithm ... carcinoma - Stone ... • Bladder stone ... #Causes #Urology
Causes of Acute Pelvic Pain - Differential Diagnosis Algorithm
Non-Gynecologic:
• Genitourinary (Infection, Stone)
• Gastrointestinal (Appendicitis, Gastroenteritis, Diverticulitis,
Causes of Acute ... Differential Diagnosis Algorithm ... Genitourinary (Infection, Stone ... Differential #Diagnosis #Algorithm ... #Causes #OBGyn
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
urinalysis, labs - Management ... renal biopsy - Management ... treating underlying cause ... - Intrarenal: stones ... ultrasonography - Manaqement
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... strong - CBD stone ... pancreatitis #ERCP ... #Management #Algorithm
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... Differential #Diagnosis #Algorithm
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Common Bile Duct Stone ... Differential #Diagnosis #Algorithm ... #Causes