醫學二：100題 ( 包括生理學,生化學,藥理學,病理學等科目及其臨床相關知識 )題庫下載題庫

Bile duct radical, surrounded by fibrous tissue, bloody diarrhea with LLQ crampy pain, jaundice – what is the IBDz? UC

Common bile duct surrounded by fibrous tissue – dx? Primary sclerosing cholangitis.  MCC primary sclerosing cholangitis = UC

What cancer can develop b/c it involves the bile duct? Cholangiocarcinoma (MCC in this country, in 3 rd  world countries, it is due to Clonorchis sinensis – Chinese liver fluke).

Primary Biliary cirrhosis

50 y/o woman with generalized itching, find enlarged liver on PE, normal bilirubin (no jaundice), alk phos and gamma glutamyl transferase are huge (ob...

Bile duct radical, surrounded by fibrous tissue, bloody diarrhea with LLQ crampy pain, jaundice – what is the IBDz? UC

Common bile duct surrounded by fibrous tissue – dx? Primary sclerosing cholangitis.  MCC primary sclerosing cholangitis = UC

What cancer can develop b/c it involves the bile duct? Cholangiocarcinoma (MCC in this country, in 3 rd  world countries, it is due to Clonorchis sinensis – Chinese liver fluke).

Primary Biliary cirrhosis

50 y/o woman with generalized itching, find enlarged liver on PE, normal bilirubin (no jaundice), alk phos and gamma glutamyl transferase are huge (obstructive type of enzymes), transaminases are elevated – dx?   Primary biliary cirrhosis, which is  an autoimmune dz that leads to granulomatous destruction of the bile ducts in the portal triad .  What is the Ab to order in this pt? Anti-mitochondrial antibodies (antimicrosomal = hashimoto’s).