Topic 50 of 74 in the MU Plovdiv syllabus for Special Surgery (Medicine, Year 4). The free AceMed note covers it in 8 sections, about 439 words (3 min of reading), with 14 flashcards.
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THEME XI: HEPATOBILIARY SYSTEM
What is the usual clinical presentation of liver microabscesses?
What is the initial procedure of choice to assess a suspected liver abscess?
What is the traditional approach to the therapy of macroscopic pyogenic liver abscesses?
What is the method of choice in the treatment of multiple liver abscesses?
Types of liver abscess 2 types on the base of gross pathology? (multiple, solitary)
Types and Clinical presentation of liver abscess?
Treatment of liver abscess according to the types?
THEME XI: HEPATOBILIARY SYSTEM
1. There are two main types of liver abscesses (Based on etiology). Which are they?
Pyogenic liver abscesses→ are of bacterial origin
Amebic liver abscesses → are caused by Entamoeba histolytica.
2. Pyogenic liver abscesses are divided into 2 general categories, based upon size and distribution of focal sites of inflammation. Which are they?
Pyogenic liver abscesses are divided into 2 general categories, based upon the size and distribution of the focal sites of inflammation, and the nature of the therapy that is required:
Macroscopic abscesses
Microabscesses.
3. What is the definition of “macroscopic liver abscess”?
Macroscopic liver abscess → is usually restricted to one lobe of the liver, single or confluent and requires some form of primary drainage
4. Definition of “ liver microabscesses”?
Liver microabscesses → are multiple, widely distributed throughout the hepatic parenchyma, and require primary medical therapy.
5. Which is the most common pathogenetic route by which infecting organisms are introduced into the liver?
Biliary tract disease
Portal vein pylephlebitis
Hepatic arterial infection
Post-traumatic infection
Direct extension of infection.
6. What is the usual clinical presentation of macroscopic liver abscesses?
Macroscopic liver abscesses are developing over several days (more subacute), with
Fever Fever
Abdominal pain Night Sweats
Night sweats
Anorexia RUQ Tenderness Abdominal Pain
Weight loss
Right upper quadrant tenderness Anorexia Weight loss ↑ Hepatomegaly
Hepatomegaly is demonstrable in approximately 50% of patients
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