Talk:Ascending cholangitis/GA1: Difference between revisions

Revision as of 19:05, 3 July 2008

Latest revision as of 01:55, 23 July 2017

(One intermediate revision by one other user not shown)

Line 16:

: From "Diagnosis", "Blood tests": "In the early stages, however, pressure on the liver cells may be the main feature and the tests will resemble those in hepatitis, with elevations in alanine transaminase and aspartate transaminase." Is this really true? I'm reading "Oxford Textbook of Clinical Hepatology" and there's no mention of this. Unfortunately my hospital library doesn't stock "Gastrointestinal clinics of North America". [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 18:25, 2 July 2008 (UTC)

::{{done}} Kinney sources it to {{PMID |17127193}}. In my clinical experience this does indeed happen early in the cause of severe cholangitis. [[User:Jfdwolff|JFW]]&nbsp;|&nbsp;[[User_talk:Jfdwolff|<small>T@lk</small>]] 22:26, 2 July 2008 (UTC)

: From "Diagnosis", "Medical imaging": "Compared to ERCP (see below), this modality may show dilation of the bile duct and identifies 38% of bile duct stones; it is relatively poor at identifying stones further down the bile duct." This sentence is rather awkward and should be split.The first part of the sentence: "Compared to ERCP, this modality may show dilation..." doesn't really make sense. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 18:51, 2 July 2008 (UTC)

Line 53:

: The caption for the picture in "Medical imaging" mentions a "nasobiliary drain". I can guess what this means, although I've never heard of it before. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 21:01, 2 July 2008 (UTC)

::Kinney mentions it, and several other sources (e.g. {{PMID |16374853}}) attest to its use. Do you think the explanation is adequate? [[User:Jfdwolff|JFW]]&nbsp;|&nbsp;[[User_talk:Jfdwolff|<small>T@lk</small>]] 22:26, 2 July 2008 (UTC)

::: As a stand-alone picture, many non-medical readers would not understand the meaning. It is only later in the article that "nasobiliary drain" is properly described. I'm hoping for a wikilink (to a stub) to assist unfamiliar readers. [[User:Axl|Axl]] ([[User talk:Axl|talk]]) 07:38, 3 July 2008 (UTC)

Line 88:

[[User:Axl|Axl]] ([[User talk:Axl|talk]]) 18:51, 3 July 2008 (UTC)

:Thanks Axl. With regards to the source I was actually surprised that there were no good reviews available on cholangitis. Kinney's article is quite rigorous, and all other recent reviews have appeared in similar journals. Thankfully we had Tokyo2007 and the recent BSG guideline to supplement the content. [[User:Jfdwolff|JFW]]&nbsp;|&nbsp;[[User_talk:Jfdwolff|<small>T@lk</small>]] 21:03, 3 July 2008 (UTC)