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Old 05-09-2014
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Embarrassed Most accurate test for Wilson Disease?

MTB 2 says abnormally increased amount of copper excretion after giving penicillamine

MTB 3 says Liver biopsy is more accurate than urinary copper level

Whats more accurate?

There is a line in MTB 2 saying that the only cause of cirrhosis for which the most accurate test is not liver biopsy is PSC.
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Old 05-09-2014
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Quote:
Originally Posted by sachinkumar View Post
MTB 2 says abnormally increased amount of copper excretion after giving penicillamine

MTB 3 says Liver biopsy is more accurate than urinary copper level

Whats more accurate?

There is a line in MTB 2 saying that the only cause of cirrhosis for which the most accurate test is not liver biopsy is PSC.
serum ceruloplasmine(dec) is the best initial screen test and liver biopsy is confirmatory.
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Old 05-09-2014
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MTB says that slit lamnp exam for kf rings is more sensitive and specific than serum ceruloplasmin as best intial test
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Old 05-09-2014
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Originally Posted by sachinkumar View Post
MTB says that slit lamnp exam for kf rings is more sensitive and specific than serum ceruloplasmin as best intial test
ya you are right but in kaplan pedi book it is written that serum cerulopplasmin is the best screening test.
so i think if qs says
best initial test-it is slit lamp exam
best screening test-serum ceruloplasmin
accurate test-liver biopsy
correct me if i m wrong
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