liver infections Flashcards
in schistosomiasis how does ova reach liver
via venous system
what does schistosomiasis do to liver.
ova obstructs the portal branches, producing granulomas, fibrosis and inflammation
does schistosomiasis cause cirrhosis
no
symptoms of schistosomiasis
- hepatosplenomegaly.
- portal hypertension
investigations of schistosomiasis
- raised serum alkaline phosphatase
- ova found in stools (centrifuged)
treatment of schistosomiasis
praziquantel
what is hydatid disease.
cysts caused by echinococccus granulusus
where does hydatid usually occur
lower parts of right lobe of liver
symptoms of hydatid disease
- dull ache and swelling in right hypochondrium
investigation of hydatid disease
- peripheral eosinophilia
- xray = calcification
- ultrasound = cyst
treatment of hydatid disease
- medical treatment causes cysts to become smaller
how do you remove the cystic hydatid disease
surgery can be done if cyst is intact - sterilise cyst with a alcohol etc
what are the complication of. hydatid disease
- rupture into biliary tree to other organs
- infection
what are some preventative measures of hydatid disease
deworming pet dogs and. presenting pets from eating carcasses
