Sir 2 questions 1.in obstructed biliary system , alkaline phosphatase is raised , conjugated bilirubin is raised I understand but why ast n alt , unconjugated bilirubin is raised n why is there risk of heapatic encephalopathy ?? 2.is there no chance of cholangitis in cholangiocarcinoma !?
Ast and alt bc of liver damage due to chronic obstr.and hepatic encephalopathy is due to the toxins that are not able to filter by liver due to its damage and leading to ammonia accumilation in the blood .thatWat i think!
Sir I have a question a 50 year old male complain with acute pancreatitis with cholengitis and ercp and stunting is not done due to inflamation what we can do next to manage cholengitis.
Thank you, quick question How does PSC cause cholangitis? It’s not a problem with stone formation rather a problem with strictures in the bile duct, maybe I’m missing something. Please help
boht background noise hai sir...pls record lectures in a noise free environment...ur family members are creating a lot of noise... difficult to concentrate
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Great Video Guruji, mesmerized by the friction wala concept!
I m not a MBBS or pg student but I can understand everything crystal clear
Why are you watching thn
Thank you for giving us the best concept. This has really helped in the understanding of scenarios. God bless you sir!
the way of explanation is just amazing sir 🔥 nd thnku
Great teacher I love your teaching
So simplified sir..missing ur swag sir ❤️❤️
just in love wid ur classy concepts sir🖤🖤
~thankyou for this explaination . 👍😄
You are awesome sir ❤️❤️❤️❤️
Good guru gi .want more videos from you. Very few videos available
Next level sir 🙏🙏🙏🙏🙏🙏🙏🙏🙏
Sir 2 questions 1.in obstructed biliary system , alkaline phosphatase is raised , conjugated bilirubin is raised I understand but why ast n alt , unconjugated bilirubin is raised n why is there risk of heapatic encephalopathy ?? 2.is there no chance of cholangitis in cholangiocarcinoma !?
Ast and alt bc of liver damage due to chronic obstr.and hepatic encephalopathy is due to the toxins that are not able to filter by liver due to its damage and leading to ammonia accumilation in the blood .thatWat i think!
It may develop in higher grade like 4
Superb
Sir I have a question a 50 year old male complain with acute pancreatitis with cholengitis and ercp and stunting is not done due to inflamation what we can do next to manage cholengitis.
Thank you sir
Thank u dr
Awesome
Sir plz explain full investigation and managenent
Best💯
Thank you, quick question How does PSC cause cholangitis? It’s not a problem with stone formation rather a problem with strictures in the bile duct, maybe I’m missing something. Please help
Yes due to stricture
Good
Role of PTBD in cholangitis?
To reduce the obstruction of cbd through bypass the bile by tube to reduce the stasis of bile
Jazak Allah ✨
Im final year mbbs student im today i subscribe you
great sir j
21:36 😂
Surgery not needed
boht background noise hai sir...pls record lectures in a noise free environment...ur family members are creating a lot of noise... difficult to concentrate
Worst class
Thanku so much sir