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{{familytree | | | | | | | | | | | | C01 | | | | C01= Laboratory diagnosis(LD) and Radiologic Methods (RM) (US, CT or MRI)}}
{{familytree | | | | | | | | | | | | C01 | | | | C01= Laboratory diagnosis(LD) and Radiologic Methods (RM) (US, CT or MRI)}}
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{{familytree | | | C01 | | | | C02 | | | | C03 | | | | C04 |C01='''Hematogenous'''|C02='''Biliary'''|C03='''Underlying lesions or anamolies'''|C04='''Other causes'''}}
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{{familytree | | | D01 | | | | | | | D02 | | | | | | |D03 | |D01=LD negative and RM negative:Floow|D02=LD negative and RM positive:aspiration, if possible|D03=LD positive and RM positive: chemotherapy / surgical treatment}}
{{familytree | | | D01 | | | | D02 | | | | D03 | | | | D04 | D01='''Portal vein'''<br>Intra-abdominal [[infection]]<br>Pyelophlebitis<br>[[Abdominal abscess]]<br>[[Amoebiasis]] <br> '''Arterial'''<br>[[ENT]]<br>[[Oral cavity]]|D02=[[Gall stones]]<br>Obstructed bile duct<br>Contiguous spread, [[ascending cholangitis]]<br>[[Bile duct]] [[ischemia]]|D03=Biliary cyst<br>[[Hydatid cyst]]<br>[[Cystadenoma]]<br>[[Necrosis]] of a [[primary tumor]]<br>[[Superinfection]] of a [[metastasis]]<br>[[Caroli disease]]<br>Biliary stricture<br>[[Sclerosing cholangitis]]<br>Ischemic cholangitis|D04=[[Radiofrequency ablation]] / [[Chemoembolization]] in the presence of infected [[bile]]<br>Pancreatoduodenectomy<br>[[Liver transplantation]]<br>Hepatic trauma ± arterial embolization}}
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{{familytree | | | E01 | | | | | | | | | | | | | | | E02 |E01=Pyogenic abscesses <br> Neoplasia (hepatocellular carcinoma)<br>Cysticercosis<br>Cystic echinococcosis|E02=ALA}}
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Revision as of 19:11, 8 February 2017

Amoebic liver abscess diagnosis

 
 
 
 
 
 
 
 
 
 
 
Diagnosis of amoebic liver abscess
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Signs and symptoms
Fever, abdominal pain, point tenderness over the liver, hepatomegaly, weight loss
History
Travel to endemic areas, immigrant from endemic areas, having had dysentery within last years, gender (male/female:9/1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Laboratory diagnosis(LD) and Radiologic Methods (RM) (US, CT or MRI)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LD negative and RM negative:Floow
 
 
 
 
 
 
LD negative and RM positive:aspiration, if possible
 
 
 
 
 
 
LD positive and RM positive: chemotherapy / surgical treatment
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pyogenic abscesses
Neoplasia (hepatocellular carcinoma)
Cysticercosis
Cystic echinococcosis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ALA

Liver abscess

 
 
 
 
 
 
 
 
 
 
 
Liver abscess
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risk factors
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hematogenous
 
 
 
Biliary
 
 
 
Underlying lesions or anamolies
 
 
 
Other causes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Portal vein
Intra-abdominal infection
Pyelophlebitis
Abdominal abscess
Amoebiasis
Arterial
ENT
Oral cavity
 
 
 
Gall stones
Obstructed bile duct
Contiguous spread, ascending cholangitis
Bile duct ischemia
 
 
 
Biliary cyst
Hydatid cyst
Cystadenoma
Necrosis of a primary tumor
Superinfection of a metastasis
Caroli disease
Biliary stricture
Sclerosing cholangitis
Ischemic cholangitis
 
 
 
Radiofrequency ablation / Chemoembolization in the presence of infected bile
Pancreatoduodenectomy
Liver transplantation
Hepatic trauma ± arterial embolization