18 results
Protruding / Bulging Papilla on ERCP biliary stone extraction

- Dr. Bibek Purbey

#Protruding #Bulging #Papilla #ERCP #endoscopy
Bulging Papilla on ERCP ... biliary stone extraction ... Bulging #Papilla #ERCP ... gastroenterology #clinical ... choledocholithiasis #stone
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... This time on pocus ... #clinical #ultrasound ... #biliary
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Artifact of CBD stone ... this dancing CBD stone ... #POCUS Can also ... #biliary #clinical ... #ultrasound #pocus
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 ... Choledocholithiasis #Biliary
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Liver Enzymes - Differential ... Diagnosis Algorithm ... Common Bile Duct Stone ... • Biliary stricture ... #Diagnosis #Algorithm
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Cystic Duct Stone ... on Biliary POCUS ... This stone is lodged ... #Biliary #POCUS ... ultrasound #abdominal #clinical
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
ALP) Elevation - Differential ... Diagnosis Algorithm ... PSC - Other biliary ... duct stricture/Stones ... #Diagnosis #Algorithm
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD stone ... , Biliary stricture ... Transaminitis #Algorithm
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... MRCP performed. ... compression of biliary ... Ultrasound #Gallstone #Clinical ... #Transverse #Biliary
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
Stone-In-Neck Sign ... Here is her biliary ... A stone is lodged ... Herbst @EUSmkh #Stone ... #clinical #gallbladder