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Liver Abscess

 Syn. Hepatic Abscess , Abscess of liver , pyogenic liver abscess

Signs & Symptoms

 Solitary lesion
Ref: Cecil [ 897]
Severe pain
Ref: Harrison [ 2333]
Fevers
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Last days
Ref: Cecil [ 896]

Physical Examination

 Right upper quadrant tenderness
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Hepatomegaly
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Shock #severe
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]

Lab / Serology

 Abnormal alkaline phosphatase
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Obstructive liver profile
Ref: Cecil [ 896]
Anemia
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]

Imagin Study

 CT shows fluid collection with surrounding edema
Note: Tumors(solid radiographic appearance, calcification), Necrosis and tumor bleeding(fluid-filled appearance), Cysts(fluid collections without surrounding stranding or hyperemia)
Ref: Uptodate [ Pyogenic liver abscess]
Fluid collection
Ref: Uptodate [ Pyogenic liver abscess]
Surrounding edema
Ref: Uptodate [ Pyogenic liver abscess]

Complication

 Bacteremia #severe
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Cholangitis #severe
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Shock #severe
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]

Risk Factors

 Malignancy
Ref: Epocrates [ https://online.epocrates.com/diseases/64032/Liver-abscess/Risk-Factors]
Biliary tract disorders
Ref: Epocrates [ https://online.epocrates.com/diseases/64032/Liver-abscess/Risk-Factors]
Cholecystectomy
Ref: Epocrates [ https://online.epocrates.com/diseases/64032/Liver-abscess/Risk-Factors]

Cause

Other