7 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) • US - Dilated ... Ducts - CBD ... stone, Biliary ... stricture, PSC,
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... stone on transabdominal ... dL Strong - Dilated ... mm with galbladder
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
sclerosing cholangitis (PSC ... - Annual US or MRCP ... & CA 19-9 Gallbladder ... /- AFP CRC - IBD ... #cholangitis #PSC
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... TRV--note dilated ... Answer: MULTIPLE stones ... ERCP/cholecystectomy ... clinical #ultrasound #gallbladder
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... carcinoma, and gallbladder ... judicious use of ERCP
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Bile Ducts • PSC ... Congenital US - Dilated ... Common Bile Duct Stone ... Differential #Diagnosis #Algorithm
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... no definitive stones ... CT scan and MRI/MRCP ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound