7 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... cholecystectomy, new RUQ ... but there is a stone ... clinical #ultrasound #biliary
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Malignancy Most common ... symptoms - Pain -> RUQ ... PSC - Other biliary ... duct stricture/Stones
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... Bile Ducts • Common ... Bile Duct Stone ... • Biliary stricture ... Differential #Diagnosis #Algorithm
Palpable Gall Bladder: Cholangiocarcinoma has caused patient's gall bladder to become markedly dilated, and therefore,
easily palpable
Palpable Gall Bladder ... patient's gall bladder ... jaundiced due to biliary ... (B), dilated common ... Clinical #Photo #Gallbladder
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... strong - CBD stone ... ( > 6 mm with galbladder ... ERCP #Management #Algorithm ... Choledocholithiasis #Biliary
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... POCUS Male with RUQ ... Answer: MULTIPLE stones ... RJonesSonoEM #Dilated #Common ... clinical #ultrasound #gallbladder
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... yo patient with RUQ ... no definitive stones ... ultrasound #clinical #biliary