19 results
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 ... major papilla #ERCP
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Ducts - PBC ... Ducts - CBD stone ... , Biliary stricture ... Transaminitis #Algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... strong - CBD stone ... ( > 6 mm with galbladder ... Moderate - Abnormal ... Choledocholithiasis #Biliary
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... stone, Malignancy ... , PBC, PSC, Cystic ... function may be abnormal ... differential #diagnosis #algorithm
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Drugs - Primary biliary ... Cholangitis (PBC ... - Other biliary ... duct stricture/Stones
Impacted Gallbladder Stone on POCUS
20's female with RUQ pain x 20 hrs. Has positive Murphy's. Vitals
Impacted Gallbladder ... Stone on POCUS ... Other than WBC 12.8 ... #Impacted #Gallbladder ... #POCUS #clinical
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
Stone-In-Neck Sign ... on Gallbladder ... Here is her biliary ... A stone is lodged ... the neck of the gallbladder
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... disease US — Normal ... Bile Ducts • PSC ... Common Bile Duct Stone ... • Biliary stricture
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... diagnosis, can be normal ... (necrosis, biliary ... , stones), CTA if ... Gallstones: Urgent ERCP
Algorithm for the Diagnosis of Primary Biliary Cholangitis (PBC). 

US, ultrasound; MRCP, magnetic resonance cholangiopancreatography; ALP,
Algorithm for the ... Diagnosis of Primary Biliary ... Cholangitis (PBC ... US, ultrasound; MRCP ... #Cholangitis #PBC