Abdominal pain
Male patient of age 35 Chief Complaints Abdominal pain ten days History History of taking tab:Metrogyl 400 mg tds Tan diclo Pan dsr। Since one week but not relief Vitals Bp:130/84 Physical Examination Tenderness over right quadrant Investigations Cbc: 12.8 Esr:50 TLC:17800 Neutrophils:78 Usg:Liver abcess। 49cc Chest x-ray: Right side mild pleural effusion Diagnosis Liver ABCESS Management Need Valuable opinion
Suprahepatic liver abscess are usually amoebic TLC shows leucocytosis suggestive of secondary infection Adv usg guided aspiration and analysis Rx inj Ceftriaxozone Inj meteronidazole Inj pantaprazole inj ondestron Rest of supportive treatment
Liver abscess.. single... need to go for viewing liquification. If liquified... aspiration under USG and culture report can be planned. Metronidazole in higher dose is required (double than normal - so 800mg three times.. or more).. Rest plan as per other suggestions...
SUGGESTIVE OF ... LIVER. ABSCESS... SINCE. NO. CULTURE. REPORT IS. THERE..... AND. ..ALSO... THERE. IS. RIGHT. SIDED ... PLEURAL. EFFUSION... SO... POSSIBLY... MIXED. PATHOGENS....( PYOGENIC) MAYBE... KLEBSIELLA. PNEUMONIAE.. AND AMOEBIC ABSCESS ADVISABLE... 1. U S. G ....GUIDED. NEEDLE ASPIRATION / DRAINAGE OF. P.US .. 2. INTRAVENOUS... ANTIBIOTICS.. 3. METRONIDAZOLE.... ..750. mg. THREE. TIMES. A. DAY.....FOR. AT. LEAST. 15. DAYS.. 4. REPEAT. U. S. G /. C. T. SCAN.. AFTER. A. WEEK. OF. DRAINAGE
LIVER ABSCESS.. NEED'S.. DRAINAGE.. EITHER.. SURGICALLY.. OR .. US / CT .. GUIDED.. MEDICINES..
Iv antibiotics and aspirations
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