1' Biliary Cholangitis

Question 1

1’ Biliary Cholangitis antibody

Answer 1

Anti Mitochondrial Antibody

Question 2

Antimicrosomal antibody seen in

Answer 2

Hashimoto thyroiditis

Question 3

40-60 yr - f - Pruritus - hepatomegaly - jaundice - liver cirrhosis symptoms - xanthoma over eyelid - abnormal lipid profile - Steatorrhea - osteopenia - SICCA -
Kayser - Fleiiischer Ring

Answer 3

1’ Biliary Cholangitis

Question 4

IOC of 1’ Biliary Cholangitis

Answer 4

Liver biopsy

Question 5

Mx of 1’ Biliary Cholangitis

Answer 5

UDCA (Ursodeoxycholic acid )
Obetocholic acid : if intolerance of UDCA
Cholestyramine
AntiH
Dronabinol : neutralizes endogenous opioids peptide
Naltrexone
Plasmapheresis
TOC : orthoptic liver transplant

Question 6

D/D of 1’ Biliary Cholangitis

Answer 6

autoimmune hepatitis
1’ sclerosing Cholangitis
Sarcoidosis