Approach to Abnormal LFTs
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Acute Biliary Blockage - Colostatic Injury?
An acute biliary blockage a CBD stone potentially causing colostasis without the classic charcos triad or Reynolds pentat as you like to point out before. An American Society of Gastrointestinal Endoscopy ASGE has this really helpful algorithm for working up a patient with possible common bile duct stone. The chance that they have a CBD stone is so high that you basically treat them as such and go directly to the intervention to relieve the CBD stone. A total bill room above four milligrams per deciliter gives her a very strong predictor of having an underlying CBD stone.
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