Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Biliary Cannulation ... further cannulation ... #Selective #Biliary ... #Cannulation #SBC ... gastroenterology #management
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
Refractory Ascites ... kg over 4 days, Urinary ... encephalopathy #Refractory ... Ascites #diagnosis #management ... #algorithm #treatment