Primary Biliary Cirrhosis Flashcards
1
Q
What is primary biliary cirrhosis?
A
Autoimmune granulomatous inflammation leading to damaged intralobular bile ducts
2
Q
What causes primary biliary cirrhosis?
A
Autoimmune
3
Q
Symptoms?
A
Cholestasis leading to jaundice
Portal hypertension
- Varices
Diarrhoea
4
Q
Signs?
A
Hepatomegaly
Splenomegaly
5
Q
Tests?
A
LFTs
USS
ERCP - rule out DDx’s of painless obstructive jaundice
Liver biopsy - granulomatous inflammation
6
Q
LFT findings?
A
Everything raised
Albumin and INR down in chronic cases
7
Q
Surgery?
A
Liver transplant
8
Q
Pharma treatments?
A
Pruritis - Colestyramine
Diarrhoea
- Codeine phosphate
9
Q
What prophylacting treatment is needed in conditions where bile can’t enter the duodenum?
A
fat soluble vitamin supplements