LIVER Flashcards
Pyogenic and Amoebic Liver Abscess
⚡⚡ MOST COMMON CAUSE
🧠⚡LPG aLP ⚡
🧠⚡ PTA⚡
IOC FOR
AMOEBIC LOVER ABSCESS
PYOGENIC LIVER ABSCESS
USG/CECT
CECT is superior
Treatment of Entamoeba
PMT-Delhi
Solitary/Multiple? AMOEBIC LIVER ABSCESS
Solitary
Solitary/Multiple? Pyogenic Liver Abscess
Both Solitary and Multiple
Acute Cholangitis can occur in:
Pyogenic Liver Abscess.
Fever with Spikes
Pain
MORE TOXIC
Anchovy Saucy Pus CHARACTERISTIC of
Amoebic Liver Abscess
Organism causing HYDATID CYST
✨ Echinococcus Granulosus
✨ Echinococcus Multilocularis
MALIGNANT HYDATID DISEASE
Echinococcus Multilocularis
⬇️
Multiple Cysts in Liver
Life Cycle of Echinococcus
⚡⚡ MOST COMMON ORGAN AFFECTED BY ECHINOCOCCUS
Liver > > Lung
🧑🏻⚕️ Clinical Features of HYDATID DISEASE
- MASS: Right Upper Quadrant
- Painful HEPATOMEGALY
- Eosinophilia
HYDATID THRILL
Placing 3 fingers on the Mass & percussing with Middle Finger
⬇️
Fluid ➕ in Cyst
⬇️
Fluid Thrill is Felt on other 2 fingers
🩺 IOC for HYDATID DISEASE
USG
Gharbi CLASSIFICATION is used for
HYDATID DISEASE
GHARBI CLASSIFICATION
💊💉 MANAGEMENT of HYDATID DISEASE
Albendazole ➕ PAIR
✨ PERCUTANEOUS
✨ ASPIRATION under USG
✨ INJECTION
✨ REASPIRATION under USG
Injection substance in PAIR Protocol
🧠⚡ Scolicidal Agent: CHAMP⚡
- Cetrimide (0.5%) with 0.05% Chlorhexidine
- Hypertonic Saline
- Alcohol (95%)
- Mebendazole
- Povodine Iodine
🚫 CONTRAINDICATION for PAIR
🧠⚡MSC D²IE⚡
- Multiloculated cyst
- Superficially located cyst
- Cystobiliary communication
- Dead (OR) Calcified Cyst
- Deep Seated Cyst
- Impending RUPTURE
- Extrahepatic cyst
INDICATION for SURGERY IN HYDATID CYST
PAIR is 🚫 CONTRAINDICATION
SURGERY IN HYDATID CYST
🧠⚡ RCC⚡
- Resection
- Capitonnage: Resect the cyst & spiral suturing of cavity
- Cystopericystectomy
Prevention of HYDATID Anaphylactic Reaction during SURGERY
Line the Abdominal Cavity with BETADINE SOAKED MOPS
If during surgery, HYDATID Cyst fluid Leaks into Peritoneal cavity, then
Diffuse Recurrance occurs