32 results
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Adenomyomatosis - May cause ... or right upper quadrant ... pain, nausea, vomiting ... or right upper quadrant ... pain, nausea Choledocholithiasis
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
Causes of Biliary ... diverticulum, AUPBD • Stones ... : Biliary stone( ... @drkeithsiau #Biliary ... #Dilatation #causes
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Right Upper Quadrant ... Budd-Chiari syndrome Biliary ... "biliary colic") ... differential #diagnosis #causes ... #right #upper #quadrant
Courvoisier Sign or Courvoisier-Terrier Sign

States that in a patient with painless jaundice & an enlarged gallbladder
or right upper quadrant ... mass), the cause ... therefore presumes the cause ... pancreatic or biliary ... gallbladder containing stones
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Differential Diagnosis Algorithm ... Right Upper Quadrant ... Pneumonia Left Upper Quadrant ... Differential #Diagnosis #Algorithm ... #Causes #Peds #
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 ... #Causes
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
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% ... differential #diagnosis #causes
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Differential Diagnostic Algorithm ... abdomen Upper quadrant ... musculoskeletal causes ... Lower quadrant ... genitourinary causes
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

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