28 results
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the Biliary ... pain Cholesterolosis ... pain Porcelain ... or right upper quadrant ... or right upper quadrant
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Right Upper Quadrant ... Pain Liver: ... "biliary colic") ... abscess #RUQ #Pain ... #right #upper #quadrant
Ultrasound in the Evaluation of Right Upper Quadrant Abdominal Pain

- Dr. Tom Fadial https://twitter.com/thame

#Hepatobiliary #RUQ #AbdominalPain
of Right Upper Quadrant ... Abdominal Pain ... AbdominalPain #Algorithm
Common Radiation Patterns of Abdominal Pain
 • Hepatic and biliary pathology - R shoulder
 • Pancreatitis,
Patterns of Abdominal Pain ... • Hepatic and biliary ... Nephrolithiasis (kidney stones ... #Abdominal #Pain
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Acute Abdominal Pain ... Differential Diagnosis Algorithm ... Right Upper Quadrant ... Pneumonia Left Upper Quadrant ... Differential #Diagnosis #Algorithm
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... cholecystectomy, new RUQ pain ... but there is a stone ... BileDuct #CBD #Stone ... clinical #ultrasound #biliary
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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%
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,
Acute Abdominal Pain ... Differential Diagnostic Algorithm ... abdomen Upper quadrant ... causes Lower quadrant ... Acute #Abdominal #Pain
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

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