36 results
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... 50% of solitary liver ... in the right Liver ... & antibiotic treatment ... #liverabscess #liver
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Quadrant Pain Liver ... viral hepatitis, Liver ... abscess - Non-infectious ... ), Budd-Chiari syndrome ... Subdiaphragmatic abscess
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
infection • Abscess ... disease • Behcet's syndrome ... • Hyper-IgD syndrome ... Brucellosis • Liver ... or lung abscess
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Non-Malignant • Fatty Liver ... • Budd-Chiari Syndrome ... Cholangitis • Abscess
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
vasoconstriction syndrome ... Encephalitis, Brain Abscess ... Hypoxia, Uremia, Liver
Lemierre’s Syndrome - Pathophysiology

Lemierre’s is an infectious thrombophlebitis of the internal jugular vein.

 - It starts
Lemierre’s Syndrome ... peritonsillar abscess ... landing in the liver ... #Lemierres #Syndrome
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
• Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... Cirrhosis #diagnosis #treatment
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation Syndrome ... syndromes Clinical ... thrombocytopenia • Liver ... ALT ↑ bilirubin level ... Treatment: • Corticosteroids
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... the setting of liver ... • Underlying liver ... ) on room air Treatment ... hypertension • Liver
Causes of Culture Negative Abscess - Differential Diagnosis Framework
Consider prior antibiotics as a cause of a
Culture Negative Abscess ... SAPHO, Sweet's Syndrome ... Auto-Inflammatory: SAPHO syndrome ... histoplasmosis Liver ... Culture #Negative #Abscess