Choledocholithiasis - Risks and benefits of ERCP discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient. Patient agreeable to proceed with ERCP.[]
Reply to this Note | Notes Linking Here | ERCP Beyond Hand out | 4K HDTV for $500 | Apple Macbook $1279 | Prior Note
Showing first five replies; total replies are 4. See all Replies
Humira for ulcerative colitis - randomized to receive HUMIRA 160 mg at Week 0, 80 mg at Week 2, and 40 mg at Weeks 4 and 6 ...Read more | Humira Pro
[] []male presented with [] abdominal pain for [] days. Associated nausea/vomiting. [] fever/chills. Choledocholithiasis - Risks and benefits of ERCP discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient. Patient agreeable to proceed with ERCP. ...Read more | ERCP Handout
Five main types of choledochal cysts according to Todani classification, type I: ◦Ia: dilatation of extrahepatic bile duct (entire) ◦Ib: dilatation of extrahepatic bile duct (focal segment) ◦Ic: dilatation of the common bile duct portion of extrahepatic bile duct •type II: true diverticulum from extrahepatic bile duct •type III: dilatation of extrahepatic bile duct within the duodenal wall (choledochocoele) •type IV: next most common◦IVa: cysts involving both intra and extrahepatic ducts ◦IVb: multiple dilatations/cysts of extrahepatic ducts only •type V: multiple dilatations/cysts of intrahepatic ducts only (Caroli disease) ...Read more | Radiopedia
Choledocholithiasis - epigastric abdominal pain, elevated liver enzymes, elevated bilirubin, abnormal MRI[]. Risks and benefits of ERCP discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Patient agreeable to proceed with ERCP. ...Read more
Choledocholithiasis - Risks and benefits of ERCP discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient.
Patient agreeable to proceed with ERCP.[]
...Read more
Choledocholithiasis - Risks and benefits of ERCP discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient. Patient agreeable to proceed with ERCP.[]
...Read more
ERCP prior to cholecystectomy
...Read more
[] []male presented with [] abdominal pain for [] days. Associated nausea/vomiting. [] fever/chills.
Choledocholithiasis - Risks and benefits of ERCP discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient. Patient agreeable to proceed with ERCP.
...Read more
Choledocholithiasis - elevated liver enzymes, elevated bilirubin, epigastric[] abdominal pain, probable ascending cholangitis[]. Risks and benefits of Endoscopic Retrograde Cholangio-Pancreatography (ERCP) discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient.
Patient agreeable to proceed with ERCP.[]
...Read more
Choledocholithiasis - elevated liver enzymes, elevated bilirubin, epigastric[] abdominal pain, probable ascending cholangitis[]. Risks and benefits of Endoscopic Retrograde Cholangio-Pancreatography (ERCP) discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient.
Patient agreeable to proceed with ERCP.[] ERCP CPT codes. 43261 - ERCP. 43262 - ERCP with sphincterotomy. 43264 ERCP with stone removal
...Read more
Five main types of choledochal cysts according to Todani classification, type I: â—¦Ia: dilatation of extrahepatic bile duct (entire)
â—¦Ib: dilatation of extrahepatic bile duct (focal segment)
â—¦Ic: dilatation of the common bile duct portion of extrahepatic bile duct
•type II: true diverticulum from extrahepatic bile duct
•type III: dilatation of extrahepatic bile duct within the duodenal wall (choledochocoele)
•type IV: next most common◦IVa: cysts involving both intra and extrahepatic ducts
â—¦IVb: multiple dilatations/cysts of extrahepatic ducts only
•type V: multiple dilatations/cysts of intrahepatic ducts only (Caroli disease)
...Read more
Two fried eggs provide 12 grams of protein for 180 calories. However, they are 124% of your daily cholesterol intake.
...Read more
HPI: 58 year old male with intermittent chest pain
Past Medical History: Diabetes mellitus, high cholesterol, obesity, hypertension, cholecystectomy
Medications: Lantus, lisinopril, lipitor
Allergies:
Family History: Brother with colon cancer
Social History: 1 pack of tobacco per day
Review of Systems: intermittent dyspnea
Physical Exam: normal
Labs/Radiology/Procedures: Total cholesterol 230
Assessment/Plan: EKG, troponin, stress test, possible cardiac cath. Consult cardiologist.
Write a medical record with MedCent
...Read more
[] year old female presented with epigastric[] pain for [] days, non-[]radiating, []worse with eating. Associated nausea/vomiting, fever, and chills[]. This is a template for a typical presentation of choledocholithiasis, which can be confirmed with an MRCP. The template is designed for Meditech. Treatment is with an ERCP with stone removal.
...Read more