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  • DD 18

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    A new non-invasive technique can image the bile and pancreatic ducts and has replaced ERCP as the initial diagnostic test when intervention is not strongly required. A percutaneous liver biopsy is only recommended when the type of hepatocellular disease is unknown and can provide histologic findings. Diseases like hepatitis B and C can cause cholestatic hepatitis that resembles large duct obstruction. Conditions like vanishing bile duct syndrome and adult bile ductopenia reduce bile ducts visible on biopsy and resemble primary biliary cirrhosis. Intrahepatic cholestasis is often diagnosed through serologic testing and liver biopsy. Other causes of yellow skin besides jaundice include carotenoderma, where carotene in the skin causes a yellow

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    A new non-invasive technique can image the bile and pancreatic ducts and has replaced ERCP as the initial diagnostic test when intervention is not strongly required. A percutaneous liver biopsy is only recommended when the type of hepatocellular disease is unknown and can provide histologic findings. Diseases like hepatitis B and C can cause cholestatic hepatitis that resembles large duct obstruction. Conditions like vanishing bile duct syndrome and adult bile ductopenia reduce bile ducts visible on biopsy and resemble primary biliary cirrhosis. Intrahepatic cholestasis is often diagnosed through serologic testing and liver biopsy. Other causes of yellow skin besides jaundice include carotenoderma, where carotene in the skin causes a yellow

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    8 views1 page

    DD 18

    Uploaded by

    GOT7 for 7
    A new non-invasive technique can image the bile and pancreatic ducts and has replaced ERCP as the initial diagnostic test when intervention is not strongly required. A percutaneous liver biopsy is only recommended when the type of hepatocellular disease is unknown and can provide histologic findings. Diseases like hepatitis B and C can cause cholestatic hepatitis that resembles large duct obstruction. Conditions like vanishing bile duct syndrome and adult bile ductopenia reduce bile ducts visible on biopsy and resemble primary biliary cirrhosis. Intrahepatic cholestasis is often diagnosed through serologic testing and liver biopsy. Other causes of yellow skin besides jaundice include carotenoderma, where carotene in the skin causes a yellow

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Now available, non-invasive technique for imaging the bile and pancreatic ducts

    It has replaced ERCP as the initial diagnostic test in cases where the need for
    intervention is felt to be small

    DIAGNOSTIC PROCEDURES

    Percutaneous liver biopsy

    Only indicated when confronted with hepatocellular disease of unknown type

    Histologic findings

    Hepatitis B and C can cause cholestatic hepatitis (fibrosing cholestatic hepatitis), which
    has histologic features that mimic large duct obstruction

    Vanishing bile duct syndrome and adult bile ductopenia

    Decreased number of bile ducts seen in liver biopsy specimens

    Histologic picture similar to that found in primary biliary cirrhosis

    Intrahepatic cholestasis

    Diagnosis often made by serologic testing in combination with percutaneous liver biopsy

    DIFFERENTIAL DIAGNOSIS

    Other causes of yellowing of skin

    Carotenoderma

    Yellow color is imparted to skin by presence of carotene

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