Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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4 results
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... dL Strong - Dilated ... CBD on US ( > 6 ... Moderate - Abnormal
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... AST): β€’ US - Normal ... (any) β€’ US - Dilated ... Ducts - CBD ... LFTs #Elevated #Abnormal
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Duct on POCUS 50 ... patient with RUQ abd ... hepatic panel, normal ... mass in distal CBD ... #CBD #POCUS #ultrasound
β–Ί
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 β€’ CBD stone visualized
Cholelithiasis - Risk of Choledocholithiasis ... High Risk β€’ CBD ... bilirubin >4 mg/dL and dilated ... Medium Risk β€’ Abnormal ... Age > 55 or β€’ Dilated