The Specialty certificate in Gastroenterology SCE covers the whole of the curriculum of the specialty training in gastroenterology in the UK. Preparation for this exam requires a wide breadth of knowledge around the curriculum . As knowledge is constantly advancing , awareness of current and updated guidelines is important.This blog is an attempt to pool all resources in one site with regular updates. Dr Elmuhtady Said
Curriculum for Specialty Certificate Examination in Gastroenterology
- Colonic disorders (33)
- Endoscopy (11)
- Gasrto scores/scales (7)
- Gastric disorders (8)
- gastro clips (2)
- Hepatobiliary disorders (26)
- Histology vignette (10)
- images bank (3)
- Nutrition (8)
- Oesophageal Disorders (13)
- other (3)
- pancreatic disorders (7)
- Small Intestine (8)
A liver biopsy specimen obtained from a patient with newly diagnosed PBC would most likely show which of the following?
ReplyDelete1-Ground-glass appearance of hepatocytes
2-Ductopenia and florid bile duct lesion
3-Microvesicular fat and hyaline bodies
4-Obliterative fibrosis cholangitis
5-“Owl’s-eye” inclusions
The initial lesion found on liver biopsy of a patient with PBC is damage to epithelial cells in the small bile ducts. The most important and only diagnostic clue in many cases is ductopenia (defined as the absence of interlobular bile ducts in >50% of the portal tract). The florid duct lesion, in which the epithelium of the interlobular and segmental bile ducts degenerates segmentally with formation of poorly defined, noncaseating, epithelioid granulomas, is nearly diagnostic of PBC, although this lesion is found in a relatively small proportion of patients, mainly those with early-stage disease.
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ReplyDeleteliver already present. I started on antiviral medications which
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