Intern Report follow-up: PSC and PBC

pbcSome discussion this morning over at the VA regarding intra-hepatic bile duct dilatation and extra-hepatic. PSC can do both, PBC classically does intra-hepatic, and classically PSC does as well though it can be extrahepatic as well because it affects larger bile ducts, however once cirrhosis progresses it can be challenging to distinguish the two.

The diagnostic workup of PBC is above (From the AASLD guidelines)

psc

 

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