Liver Abscess

Question 1

Most common localization

Answer 1

right lobe
better vascularisation
bigger

Question 2

Psthophysiology (2 ways)

Answer 2

1. Break in the intestinal wall, through the portal system
2. Biliary system
3. seldom : trauma or penetrating trauma

Question 3

Symptoms

Answer 3

Fever
Fatigue
RUQ pain

Question 4

TTT of liver abscess

Answer 4

US or CT punction + drain placement
Microbiology
then ATB (Cipro Metro) for 4-6 weeks
Drain stays until few ml/days (generally 1-2 weeks)