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Pyogenic Liver Abscess

 Syn. Pyogenic Hepatic Abscess , Abscesses, Pyogenic Liver , bacterial Liver absces

Signs & Symptoms

 Right upper quadrant pain
Ref: Uptodate [ Pyogenic liver abscess] Harrison [ 957]
Right upper quadrant guarding
Ref: Uptodate [ Pyogenic liver abscess] Harrison [ 957]
Fatigue
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Right upper quadrant rocking tenderness
Note: pain caused by gently rocking the patient's abdomen
Ref: Uptodate [ Pyogenic liver abscess]

Physical Examination

 Fever
Ref: Uptodate [ Pyogenic liver abscess] Harrison [ 957] Cecil [ 897]
Right upper quadrant rocking tenderness
Note: pain caused by gently rocking the patient's abdomen
Ref: Uptodate [ Pyogenic liver abscess]
Right upper quadrant guarding
Ref: Uptodate [ Pyogenic liver abscess] Harrison [ 957]

Lab / Serology

 Leukocytosis
Ref: Uptodate [ Pyogenic liver abscess] Harrison [ 957] Cecil [ 897]
Elevated Serum alkaline phosphatase
Ref: Uptodate [ Pyogenic liver abscess] Harrison [ 957] Cecil [ 897]
Abnormal alkaline phosphatase
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]

Imagin Study

 Imaging study show biliary tract infection
Ref: Cecil [ 896]
Imaging study show portal vein infection
Ref: Cecil [ 896]
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]

Complication

 Flank dullness
Ref: Uptodate [ Evaluation of adults with ascites]
Excessive fatigue
Ref: Harrison [ 2412]
Dilutional hyponatremia
Ref: Cecil [ 458]

Risk Factors

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

Cause

 Imaging study show biliary tract infection
Ref: Cecil [ 896]
Caused by disease of biliary tract
Ref: Harrison [ 956]
Caused by bacteria
Ref: Cecil [ 896]

Other