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Liver Abscess.ppt

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Hepatic abscess is a pus-filled cyst in the liver caused by bacterial, parasitic, or fungal infection that enters via the biliary tree or portal vein. Common causes include biliary obstruction, diverticulitis, trauma, and inflammatory bowel disease. Clinical features include fever, pain, chills, right upper quadrant discomfort, and weight loss. Investigations like ultrasound, CT scan, and blood tests can confirm the diagnosis by visualizing the abscess appearing as a darker area in the liver. Treatment involves antibiotics like cephalosporin and metronidazole as well as needle aspiration of the abscess under ultrasound guidance. Complications can include pneumonia, pleural effusion, peritonitis

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SUBJECT: AHN-1 TOPIC: Hepatic abscess 1
Hepatic abscess Definition : Pus-filled cyst inside the liver is termed as liver abscess. Now what is pus??? So it is yellowish or greenish colour fluid containing dead WBCs ,living and dead bacteria as well as fragments of dead tissues. 2
3 Etiology Bacterial, parasitic, or fungal in origin. 85% to 90% bacterial or pyogenic. Bacteria access the liver via the biliary tree or portal vein. Other causes include biliary obstruction, diverticulitis, trauma, inflammatory bowel disease,
In medicine or biology, a diverticulum is an outpouching of a hollow (or a fluid- filled) structure in the body. Depending upon which layers of the structure are involved, diverticula are described as being either true or false. In medicine, the term usually implies the structure is not normally present 4
5
Diverticulum 6
7 Clinical Features of abscess Fever Pain Chills (an unpleasant feeling of coldness in the atmosphere) Rigor (excellence / exhausted) Right upper quadrant discomfort Diarrhea weight loss Intercostal tenderness Vomiting Nausea
8 X-ray LFTs Ultrasound CT-scan Stool R/E Blood test Investigations
9 CT scan showing liver abscess The abscess is shown as a darker area in the liver shadow
10
Treatment Medical Rx: medications prescribed are; Cephalosporin. Tetracycline. Metranidazole. Chloroquinine. 11
12 Complications: Pneumonitis(inflammation of lungs wall.) Pleural effusion Rupture of the liver abscess into the pleural cavity - causing empyema(pus in the pleural cavity Peritonitis. sepsis
Surgical Rx Repeated ultrasounds guided needle aspiration is performed. For this purpose a 16G LP or 14F I/V canola needle is used. Lignocane is used for local anesthesia. 13
. Nursing diagnosis Acute pain related to tissue destruction. Impaired nutrition less than the body requirement. Anxiety related to the disease. Nursing interventions Give analgesic to relieve the pain. Change his position accordingly and ensure environmental comfort. Give him snakes instead of large meal as well as balanced diet as well as encourage the patient for intake of balanced diet. Assist the patient psychologically. 14

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Liver Abscess.ppt

  • 2. Hepatic abscess Definition : Pus-filled cyst inside the liver is termed as liver abscess. Now what is pus??? So it is yellowish or greenish colour fluid containing dead WBCs ,living and dead bacteria as well as fragments of dead tissues. 2
  • 3. 3 Etiology Bacterial, parasitic, or fungal in origin. 85% to 90% bacterial or pyogenic. Bacteria access the liver via the biliary tree or portal vein. Other causes include biliary obstruction, diverticulitis, trauma, inflammatory bowel disease,
  • 4. In medicine or biology, a diverticulum is an outpouching of a hollow (or a fluid- filled) structure in the body. Depending upon which layers of the structure are involved, diverticula are described as being either true or false. In medicine, the term usually implies the structure is not normally present 4
  • 5. 5
  • 7. 7 Clinical Features of abscess Fever Pain Chills (an unpleasant feeling of coldness in the atmosphere) Rigor (excellence / exhausted) Right upper quadrant discomfort Diarrhea weight loss Intercostal tenderness Vomiting Nausea
  • 9. 9 CT scan showing liver abscess The abscess is shown as a darker area in the liver shadow
  • 10. 10
  • 11. Treatment Medical Rx: medications prescribed are; Cephalosporin. Tetracycline. Metranidazole. Chloroquinine. 11
  • 12. 12 Complications: Pneumonitis(inflammation of lungs wall.) Pleural effusion Rupture of the liver abscess into the pleural cavity - causing empyema(pus in the pleural cavity Peritonitis. sepsis
  • 13. Surgical Rx Repeated ultrasounds guided needle aspiration is performed. For this purpose a 16G LP or 14F I/V canola needle is used. Lignocane is used for local anesthesia. 13
  • 14. . Nursing diagnosis Acute pain related to tissue destruction. Impaired nutrition less than the body requirement. Anxiety related to the disease. Nursing interventions Give analgesic to relieve the pain. Change his position accordingly and ensure environmental comfort. Give him snakes instead of large meal as well as balanced diet as well as encourage the patient for intake of balanced diet. Assist the patient psychologically. 14