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Liver infections - Coggle Diagram
Liver infections
Amoebic hepatitis & abscess
Atiology
Entamoeba histolytica
Pathology
colon >> PV >> liver
Right lobe more affected
Postrosuperior seg. of right lobe
Hepatitis >>liq. necrosis >> abescess + perihepatitis
Strile pus
Anchovy sauce
Shaggy wall
CP
Sympt.
Upper abd. pain
Low grade fever
Anorexia, nausea, wt loss
Dysentry
Signs
Toxic, earthy look
Tender hepatomegaly
Lower right intercostal tenderness
Comp.
Rupture
2ry bact. inf.
DD
Inv.
Chest X rays
US
Bl. picture
CT
+ve stool analysis
Therapeutic test
TTT
Conservative
Aspiration : US guided
Open drainage
Hydatid disease
Geographic dist.
Atiology
Life cycle
Org
fate & complications
Pathology
Gross
Cyst fliud
Scolices
Single or multiple cysts
Microscopic
3 layers of hydatid cyst
CP
Inv.
TTT
Surgical removal
Preoperative estimation
Avoid hadatid fliud spillage
Dark green towels with scolicidal agent
Aspiration then hypertonic NaCl injection
Double layered cyst enucleation
Pedicled omentum in large cysts
Rare >> hepatic resection & deroofing
PAIR
Medical
Indications
Dose
Pyogenic liver abscess
Complications
CP
Predisposinf factors
Inv.
Atiology
Arterial
Idiopathic
Portal
Biliary
TTT