Fruits of a sleepless night

Ok, so I slept badly again, but at least I achieved something from it...

A physician's guide to PSC

With PSC, the biliary tree

Displays Cholangeopathy

Its prognosis is fibrosis

Leading up to full cirrhosis

When this occurs one then refers

for transplant, if the team concurs

Cause unknown, the treatment shown

is UDCA on its own

Also seen: a drug regime

of daily cholestyramine

Research believes that this relieves

Pruritis that your charge perceives

Diagnose it if he shows it

with these tests that should expose it

Try CT, MRCP

to reveal his biliary tree

If this is creepy, make him sleepy

Carry out an ERCP

A stent may gain a better drain

Though some debris may still remain

In some cases patient faces

Jaundice due to cholestasis

This one sees with greatest ease

From sampling patient LFTs

A suggestion for a question

Is to check his fat digestion

An expert thinks some special drinks

Will counteract the weight-loss jinx

An odd intruige is that fatigue

Could be both small or major league

No clear connection on inspection

with nutrition or infection

Much of concern is left to learn

As more research is done in turn

But the mission for the physician

is stop the rot and seek remission

Failing that the treatment granted

Is cure the man - get him transplanted!

I think that most of the medical terms are used correctly. Tempted to show it to my consultant to try and prove what a smart-arse I am. Maybe he'll prescribe sleeping tabs to make sure I don't have any more sleepless nights and put a stop to this sort of thing!