24 results
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Right Upper Quadrant ... - Infectious: Acute ... Budd-Chiari syndrome Biliary ... "biliary colic") ... #right #upper #quadrant
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the Biliary ... gallbladder cancer Acute ... or right upper quadrant ... cholecystitis - Biliary ... or right upper quadrant
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Pediatric Acute ... Differential Diagnosis Algorithm ... Right Upper Quadrant ... Nephrolithiasis #Acute ... Differential #Diagnosis #Algorithm
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary Tract Diseases ... : • Biliary obstruction ... biopsy, Recurrent acute ... of symptomatic stones ... of strictures, Stone
Gallstone Diseases
1. Asymptomatic Stones 75%
2. Biliary Pain 20%
3. Acute Cholecystitis 10%
4. Mirizzi's Syndrome < 0.1%
5. Cholangitis/
Asymptomatic Stones ... Biliary Pain 20% ... Acute Cholecystitis
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis Algorithm ... Pruritus, Right upper quadrant ... #PBC #Primary #Biliary ... Cirrhosis #Diagnosis #Algorithm
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Differential Diagnostic Algorithm ... abdomen Upper quadrant ... causes Lower quadrant ... syndrome #Diffuse #Acute
Localized Acute Abdominal Pain(<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac, pulmonary,
Localized Acute ... Differential Diagnostic Algorithm ... Non-Peritoneal • Biliary ... ulcer disease • Biliary ... #Localized #Acute
Courvoisier Sign or Courvoisier-Terrier Sign

States that in a patient with painless jaundice & an enlarged gallbladder
or right upper quadrant ... pancreatic or biliary ... gallbladder containing stones
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Common Bile Duct Stone ... • Biliary stricture ... Differential #Diagnosis #Algorithm