49 results
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
Diagnosis #EM #Rads #Surgery ... #Differential # ... #Venous #Gas #ERCP ... MesentericIschemia #Algorithm
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... Diagnosis Algorithm ... MRCP, ERCP, liver ... direct #bilirubin #Differential ... #Diagnosis #Algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... strong - CBD stone ... ( > 6 mm with galbladder ... pancreatitis #ERCP
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... /surgery, Trauma ... necrosis, biliary, stones ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Gallbladder carcinoma ... Intrahepatic stones ... Cholelithiasis #differential
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 ... A stone is lodged ... the neck of the gallbladder ... Patient was taken to surgery
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Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Cholesterolosis of gallbladder ... pain Porcelain gallbladder ... , high risk of gallbladder ... biliary #diseases #differential ... #diagnosis #surgery
Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,
Obstruction - Differential ... Diagnosis Algorithm ... carcinoma - Stone ... • Bladder stone ... #Diagnosis #Algorithm
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Nephrolithiasis - Differential ... Diagnosis Algorithm ... Uric Acid Stones ... Nephrolithiasis #Nephrology #Differential ... #Diagnosis #Algorithm
Causes of Increased Amylase (Hyperamylasemia)
Increased serum amylase is not always due to pancreatitis. Here are some
Pancreatitis, Pseudocyst, ERCP ... / Surgery, Biliary ... elevation #diagnosis #differential