17 results
ACUTE CHOLANGITIS
Legend says that Cholangitis was first defined in 1877 by Jean-Martin Charcot, at which time
ACUTE CHOLANGITIS ... the obstructed bile ... cholē” meaning bile ... infection of the biliary ... individuals with biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... No extrahepatic biliary ... sclerosis group cholangitis ... malignancy #Primary #Biliary ... Cirrhosis #PBC #cholangitis
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
genes coding for bile ... Dysfunction - Biliary ... mononucleosis, cholangitis ... duct, sclerosing cholangitis ... external pressure on bile
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Drugs - Primary biliary ... Cholangitis (PBC ... PSC - Other biliary ... diseases/Bile duct
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Differential Diagnosis Algorithm ... • Bacterial Cholangitis ... Primary Sclerosing Cholangitis ... • Primary Biliary ... Differential #Diagnosis #Algorithm
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... on Ultrasound Biliary ... Gallstones • Biliary ... Primary Sclerosing Cholangitis ... Differential #Diagnosis #Algorithm
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Differential Diagnosis Algorithm ... failure • Primary biliary ... cholangitis • ... Primary sclerosing cholangitis ... Differential #Diagnosis #Algorithm
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... Benign/malignant biliary ... obstruction, Primary biliary ... cholangitis, Primary ... sclerosing cholangitis
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... US - Dilated Bile ... Ducts • Common Bile ... Duct Stone • Biliary ... Differential #Diagnosis #Algorithm
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... extra-hepatic bile ... to multi-focal biliary ... • CHOLANGITIS ... colorectal and hepato-biliary