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

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... strong - CBD stone ... Moderate - Abnormal ... Choledocholithiasis #Biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... • Imaging: US (biliary ... diagnosis, can be normal ... (necrosis, biliary ... , stones), CTA if
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Intestine • Kidney ... Drugs - Primary biliary ... PSC - Other biliary ... duct stricture/Stones
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Extrahepatic - Biliary ... stone, Malignancy ... function may be abnormal ... differential #diagnosis #algorithm
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... disease US — Normal ... Common Bile Duct Stone ... • Biliary stricture ... Differential #Diagnosis #Algorithm
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... the RUSH exam - normal ... AAA.... but left kidney ... Infected stone. ... Hydronephrosis #POCUS
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 ... hepatic panel with normal ... MRCP performed. ... compression of biliary ... Syndrome #Liver #POCUS
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... hepatic panel, normal ... no definitive stones ... CT scan and MRI/MRCP ... ultrasound #clinical #biliary
Dilated Cystic Duct with Spiral Valves of Heister on POCUS

Older male with RUQ/midepigastric pain with jaundice.
of Heister on POCUS ... no obstructing stone ... seen on MRCP. ... Valves #Heister #POCUS ... clinical #ultrasound #biliary