Sandbox:YK
Amoebic liver abscess diagnosis
| Diagnosis of amoebic liver abscess | |||||||||||||||||||||||||||||||||||||||||||||||
| Signs and symptoms(a) 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(b) | 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 | ||||||||||||||||||||||||||||||||||||||||||