Liver abscess Flashcards
1
Q
What causes liver abcess?
A
- cholecystitis
- cholangitis
- diverticulitis
- appendicitis
- septicimia
2
Q
What are the causative organisms for liver abcess?
A
- E.coli
- K. pneuminiae
- S. constellatus
3
Q
What are the clinical features for liver abcess?
A
- fever
- rigors
- abdominal pain
- N&V
- jaundice
- fatigue
- weight loss
4
Q
What can you find on examining pt with liver abcess?
A
- RUQ tenderness
- +/- hepatomegaly
- shock - if abcess ruptures
5
Q
What Ix would you order for liver abcess?
A
- FBC
- leucocytosis
- LFT
- raised ALP
- raised ALT
- Blood culture
- USS
- CT c contrast
6
Q
What USS features are found for liver abcess?
A
- poor-defined lesions
- hypo/hyper echoic areas
- gas bubbles
- septations
7
Q
How would you Mx liver abcess?
A
- fluid resuscitation
- IV antibiotics
- USGA
8
Q
What is amoebic abcess?
A
- extra intestinal amebiasis infection caused by Entamoeba Histolytica
9
Q
Which part is prevalent with amoebic abcess?
A
- South America
- Indian subcontinent
- Africa
10
Q
What are the clincial features of Amoebic abcess?
A
- abdominal pain
- nausea
- fever
- rigors
- weight loss
- bloating
- recent travel <6months in endemic areas
11
Q
What Ix would you order for Amoebic abcess?
A
- FBC
- leucocytosis
- LFT
- Blood and stool sample
- Entamoeba Histolytica antibodies
- USS
- poor defined lesions
- CT c contrast
12
Q
How would you manage Amoebic Abcess?
A
- Metronidozole
- Large cyst - surgical drainage
- Paromomycin - eradicate E.Hystolitica in colon
