jaundice - zzetegn

[ArchivalUser]

60 yo female presented with progressive jaundice. lab-alkaline phospahatase 1600 , Hct 30 % , microcytic hypochromic morphology. CT scan of the abdomen is negative . what do u think of the Dx ?

[ArchivalUser]

ampullary carcinoma

[ArchivalUser]

i didn't know ampullary cancer can give u anemia . that was the message i wana pass to fellow docs . thanks sammy06

[ArchivalUser]

and here you do endoscopy to take tissue for bx instead of gut instead of ct or ercp,,,

[ArchivalUser]

yeah e of the ercp meaning endocopy

[ArchivalUser]

sclerosing cholangitis............> ulcerative colitis

[ArchivalUser]

IT'S AMPULLARY CARCINOMA ....STOOL GUAIAC POSITIVE FOR BLOOD PLUS RAISED ALKALINE PHOSPHATE...