Primary sclerosing cholangitis causing intrahepatic cholestasis – morning report 7.31.2019

Today at morning report we had an interesting case of young patient with jaundice, pruritus, abdominal pain and weight loss. ANCA was positive. Following liver biopsy and MRCP the patient was diagnosed with primary sclerosing cholangitis and ultimately with Crohn's. We also discussed this great article from NEJM about DILI (nejmra1816149) which describes 3 patterns … Continue reading Primary sclerosing cholangitis causing intrahepatic cholestasis – morning report 7.31.2019

Abdominal Pain and Hypercoagulability – Morning Report 7.24.19

Today at Morning Report we discussed a patient who had a family history of thrombotic events, presenting with acute onset and worsening abdominal pain and later found to have superior mesenteric vein and portal vein thrombosis. Remember, acute mesenteric vein thrombosis presents similar to other mesenteric ischemias with non-specific central, peri-umbilical abdominal pain, classically described … Continue reading Abdominal Pain and Hypercoagulability – Morning Report 7.24.19