16. Biliary Tree, Gallbladder and Pancreas

Question 1

A 32 year old man complains of pain after eating meals. A biopsy is done showing onion skinning appearance on histology of his intra and extrahepatic ducts. He is diagnosed with primary sclerosing cholangitis. What other condition is the diagnosis associated with?

A. Acute gastritis 
B. Primary biliary cirrhosis 
C. Peptic Ulcer disease 
D. Ulcerative colitis 
E. Celiac Sprue

RFA

Answer 1

Ans. D. Ulcerative colitis- and Primary sclerosing cholangitis are linked as conditions they are also both noted for increase in P-anca

Question 2

A 32 year old man comes to his doctor complaining pain in his RUQ. The doctor order and x-ray which is positive for radiopaque stone. What is the most likely composition of these stones

A.  Dietary Salt 
B. Struvite 
C.  Copper 
D. Cholesterol monohydrate
E. Bilirubin & calcium salts 

RFA

Answer 2

Ans. E The patient has pigment stones - Bilirubin and calcium are the composition