A very good inspiration sir, u always inspire me- right from your case history notes xerox till this stage of a chronic ss aspirant for 5 years n more now
@@funonlynomania chronic aspirants are warriors boss. Once they get the seat it will be night mare for others because they know how to face any situation
in ulcerative colitis question with psc...patient was having obstructive jaundicr with cholangitis with raised tlc ...why mrcp is answer?mrcp will not help in drainage...
@@dr.mayankkumar2314 how can you do drainage with ercp if the intrahepatic ducts are involved. Mrcp is to be done to rule out the involvement of intra hepatic ducts and also it is less invasive.
@@dr.mayankkumar2314 Chill. I don't know the right protocol but if the patient presents with obstructive jaundice due to PSC, I guess we should do Mrcp and if it's proximal biliary obstruction, then you do Ptbd instead of ERCP.
31:18 பசுமர ஆணி I loved the translation sir. 😍 fantastic
A very good inspiration sir, u always inspire me- right from your case history notes xerox till this stage of a chronic ss aspirant for 5 years n more now
@@funonlynomania chronic aspirants are warriors boss. Once they get the seat it will be night mare for others because they know how to face any situation
in ulcerative colitis question with psc...patient was having obstructive jaundicr with cholangitis with raised tlc ...why mrcp is answer?mrcp will not help in drainage...
Because PSC affects both intra hepatic and extra hepatic bile duct.
@@Jason-wl1pk in sabiston it is clearly written that ercp has to be done...because u can do drainage ....
@@dr.mayankkumar2314 how can you do drainage with ercp if the intrahepatic ducts are involved. Mrcp is to be done to rule out the involvement of intra hepatic ducts and also it is less invasive.
@@Jason-wl1pk u tell me what u will do...patient is in cholangitis..with raised counts...even after mrcp..what will u do
@@dr.mayankkumar2314 Chill. I don't know the right protocol but if the patient presents with obstructive jaundice due to PSC, I guess we should do Mrcp and if it's proximal biliary obstruction, then you do Ptbd instead of ERCP.