In middle
age women, anti-mitochondrial
antibodies, pruritis, tiredness,
jaundice, raised ALP, associated
with autoimmune disease such as
Sjogren’s. Dx. Needs liver biopsy
for staging. Rx. Urodeoxycholic
acid, liver transplant.
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Achalasia : Botulinum injections a re m ost e ff ective of all the options f or r elie v ing a lower oeso p hageal sp h i n c...
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