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Liver abscess (AHN)
Hepatic abscess is a pus-filled cyst in the liver caused most commonly by bacterial infection spreading from the bile ducts or portal vein. Common symptoms include fever, pain, chills, and right upper quadrant discomfort. Diagnosis is typically made through ultrasound, CT scan, or blood tests. Treatment involves antibiotics such as cephalosporin and metronidazole. For large abscesses, ultrasound-guided needle aspiration may be used. Complications can include lung or abdominal inflammation if the abscess ruptures.
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Introduction to hepatic abscess as a pus-filled cyst in the liver with fluid containing dead WBCs and bacteria.
Causes include bacterial, parasitic, or fungal origins with bacterial cases being 85-90%. Bacteria may access the liver via biliary tree or portal vein.
Symptoms include fever, pain, chills, nausea, vomiting, weight loss, and discomfort in the right upper quadrant.
Investigative methods such as X-ray, LFTs, ultrasound, CT-scans, and blood tests to identify liver abscess.
Medical treatments involve antibiotics like Cephalosporin and Tetracycline. Surgical treatment includes ultrasound-guided needle aspiration.
Potential complications include pneumonitis, pleural effusion, rupture of abscess, peritonitis, and sepsis.
Nursing diagnoses include pain management and nutritional support with interventions for psychological care and comfort.
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Liver abscess (AHN)
- 1. SUBJECT: AHN-1 TOPIC: Hepaticabscess 1
- 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. 4 Clinical Features ofabscess Fever Pain Chills Rigor Right upper quadrant discomfort Diarrhea weight loss Intercostal tenderness Vomiting Nausea anorexia
- 5.
- 6. 6 CT scan showingliver abscess The abscess is shown as a darker area in the liver shadow
- 7.
- 8. Treatment Medical Rx: medicationsprescribed are; Cephalosporin. Tetracycline. Metranidazole. Chloroquinine. Heparsulphur. 8
- 9. 9 Complications: Pneumonitis(inflammation of lungswall.) Pleural effusion Rupture of the liver abscess into the pleural cavity - causing empyema(pus in the pleural cavity Peritonitis. sepsis
- 10. Surgical Rx Repeated ultrasoundsguided needle aspiration is performed. For this purpose a 16G LP or 14F I/V canola needle is used. Lignocane is used for local anesthesia. 10
- 11. .Nursing diagnosis Acute painrelated 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. 11