Liver disease that does not need a Liver Biopsy? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 03-02-2010
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 247
Threads: 61
Thanked 273 Times in 105 Posts
Reputation: 303
Liver Liver disease that does not need a Liver Biopsy?

Clinical diseases that causes chronic liver disease; liver biopsy is the most accurate test except in one of these diseases ... which it is ?? What is the most accurate test for that ?? How can it cause steatorrhea ??
Reply With Quote Quick reply to this message



  #2  
Old 03-02-2010
Sarah-cali's Avatar
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 63
Threads: 12
Thanked 148 Times in 44 Posts
Reputation: 168
Default Disagree with your post

That's not the way questions are going to be seen in the exam.

Anyway, the disease is Primary Sclerosing Cholangitis. and I argue with Kaplan Notes here. It's not a liver disease. It's a disease of the biliary tree.

In addition there are liver diseases in which you confirm the diagnosis without liver biopsy. Take Hepatitis A for example, nobody has ever done a liver biopsy for that

Last edited by rasheed; 11-10-2010 at 01:34 PM.
Reply With Quote Quick reply to this message
The above post was thanked by:
FSUSTC (03-02-2010), USDreamer (11-10-2010)
  #3  
Old 03-02-2010
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 247
Threads: 61
Thanked 273 Times in 105 Posts
Reputation: 303
Default

Yes , ofcourse not , in exam question will ask about next appropriate management ... Beside that my ques was a bit incorrect .... i changed it .......
Kaplan note said CHRONIC LIVER DISEASE in which biopsy is not accurate .... And PSC causes liver cirrhosis so its one of the cause of cirrhosis .... In all disease that causes cirrhosis biopsy is the most accurate test , except PSC .....
Hepatitis A do not cause chronic liver disease , so kaplan notes are okhe .........
Reply With Quote Quick reply to this message
 
  #4  
Old 03-02-2010
Sarah-cali's Avatar
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 63
Threads: 12
Thanked 148 Times in 44 Posts
Reputation: 168
Default

Quote:
Originally Posted by FSUSTC View Post
Yes , ofcourse not , in exam question will ask about next appropriate management ...
But check it out i changed it .......
OK, now it's better
Reply With Quote Quick reply to this message
  #5  
Old 11-10-2010
USDreamer's Avatar
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 13
Threads: 5
Thanked 11 Times in 5 Posts
Reputation: 21
Default

Quote:
Originally Posted by Sarah-cali View Post
That's not the way questions are going to be seen in the exam.

Anyway, the disease is Primary Sclerosing Cholangitis. and I argue with Kaplan Notes here. It's not a liver disease. It's a disease of the biliary tree.

In addition there are liver diseases in which you confirm the diagnosis without liver biopsy. Take Hepatitis A for example, nobody has ever done a liver biopsy for that
Yeah. You are right
Reply With Quote Quick reply to this message
  #6  
Old 11-15-2010
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 150
Threads: 44
Thanked 95 Times in 27 Posts
Reputation: 105
Default

yes the answer is primary sclerosing cholangitis..
and about the steatorrhea??
i feels its because of impaired fat digestion since bile is essential for emulsification of fat..and since there is impairment in this process it consequently gives rise to steatorrhea..
Reply With Quote Quick reply to this message
  #7  
Old 11-17-2010
cool_atomic's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 472
Threads: 29
Thanked 224 Times in 135 Posts
Reputation: 247
Correct Answer

PSC will cause steatorrhea because bile secreted by the hepatocytes will not be efficiently transported because of the sclerosed biliary tree.....so the pt. will have steatorhea.
Reply With Quote Quick reply to this message
  #8  
Old 04-27-2011
USMLE Forums Newbie
 
Steps History: ---
Posts: 2
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Listening

SO GUYS what is the correct explanation .
Reply With Quote Quick reply to this message



Reply

Tags
Gastroenterology-, Internal-Medicine-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
PT PTT in Liver Disease? markstroke USMLE Step 1 Forum 2 08-01-2016 06:40 AM
Why anemia in Liver failure? Androide89 USMLE Step 1 Forum 8 06-20-2016 10:43 PM
Increased Glucocerebroside in Liver Biopsy? Seetal USMLE Step 1 Forum 4 04-18-2010 12:07 PM
Liver autopsy Mahir USMLE Step 1 Forum 4 12-29-2009 09:18 AM
Liver Metastasis marduff USMLE Step 1 Mnemonics 0 08-11-2009 08:04 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)