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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 ... pancreatitis #ERCP

Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days. GB

Answer: MULTIPLE stones ... ERCP/cholecystectomy ... clinical #ultrasound #gallbladder

Might be one of the ugliest gallbladders I've ever seen. This POCUS shows a large stone

of the ugliest gallbladders ... shows a large stone ... thick edematous gallbladder ... Clinical #POCUS #Gallbladder

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

Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP

Bile Duct Biliary Stone ... removal on ERCP ... DrJBerrueta #Biliary #Stone ... removal #extraction #ERCP

Extraction of Multiple Biliary Stones from the Common Bile Duct on ERCP

Gastromdp @gastrohigamdp

#Biliary #Stone #removal #extraction

Multiple Biliary Stones ... Common Bile Duct on ERCP ... gastrohigamdp #Biliary #Stone ... removal #extraction #ERCP

Impacted Gallbladder Stone on POCUS
20 M with recurrent epigastric pain, planned for OGD. POCUS :

Impacted Gallbladder ... Stone on POCUS ... : impacted GB stone ... EmergOmBur #Impacted #Gallbladder ... #Stone #POCUS #

Cholecystitis on Gallbladder POCUS

The landmark for the gallbladder is the portal vein, usually seen superiorly

Cholecystitis on Gallbladder ... landmark for the gallbladder ... Thickened gallbladder ... 4mm), sludge & stones ... Fluid outside gallbladder

UROLITHIASIS

80% of stones are composed of calcium oxalate or phosphate. Others include uric acid (9%),

UROLITHIASIS 80% of stones ... & cystine (1%) stones ... Struvite stones, ... Uric acid stone ... Cystine stones are

Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy

Kidney stone type ... Urinary #Kidney #Stones

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