If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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Medical Revision

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BOF: 2.26

A 40 year old male presents who is known to have ulcerative colitis which is in remission presents with fever, abdominal pain, pruritus and jaundice. An ERCP is performed and this shows intra-hepatic and extra-hepatic biliary strictures.

In the long-term this patient is at increased risk of:

a)      Hepatocellular carcinoma

b)      Pancreatic carcinoma

c)      Cholangiocarcinoma

d)      Adenocarcinoma of the oesophagus

e)      Lung cancer

Answer:

c)

The clinical features are suggestive of cholangitis and the ERCP findings are those of primary sclerosing cholangitis, which is a known complication of ulcerative colitis. In this condition cholangiocarcinoma can occur in up to 20 % of patients

Revision Tip

Revise PSC KEYS to SUCCESS in Medicine page 294-295

 

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