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Liver abscess presentation
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- 2. 1.INTRODUCTION A liverabscess is a local accumulation of pus filled cavity with the liver. The abscess causes an increase of pressure with the liver as well as killing of healthy surrounding liver tissue. The result can be that an overwhelming infection can suddenly gain entrance into the blood stream at which point the patient Gets extremely sick with blood poising or sepsis.
- 3. 2. DEFINITION Aliver abscess is a collection of pus in the liver cause by bacterial, fungi,or parasites or use of needle, splinters.
- 4. 3. INCIDENCE Theannual incidence rate is about 2.3 cases per 10 lack peoples. Males are more frequently affected than females.
- 5. 4. TYPES Thereare three major form of liver abscess . 1 pyogenic liver abscess. 2 Amoebic liver abscess. 3 fungal liver abscess.
- 6. 5. CAUSES 1. Abdominalinfection such as appendicitis diverticulitis. 2. Infection in blood. 3. Trauma that damage the liver. 4. Pancreatic cancer. 5. Colon cancer. 6. The most common bacteria that cause liver abscess are : histolytica,enterococcus, E- coli, staphylococcus and streptococcus.
- 7. 6. RISK FACTORS 1.Weak immune system. 2. Diabetes mellitus. 3. Liver transplant. 4. Cancer. 5. Traveling to place where infection is common. 6. Age older than 70 years. 7. Medicine such as asteroid or chemotherapy. 8. Alcohol. 9. Poor nutrition
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- 9. 8. SIGN ANDSYMPTOMS Right upper abdominal pain. Nausea and vomiting. Weight loss. Right chest pain. Jaundice. Fever and weakness. Dark urine. Chalk coloured stool. Joint pain. Loss of appetite. General discomfort.
- 10. 9. DIAGNOSTIC EVALUATION 1.Abdominal CT scan. 2. Abdominal ultrasound. 3. Blood culture. 4. CBC. 5. Liver function test. 6. Liver biopsy
- 11. 10. MANAGEMENT 1. MEDICALMANAGEMENT. 2. SURGICAL MANAGEMENT. 3. NURSING MANAGEMENT.
- 12. • MEDICAL MANAGEMENT Give antibiotics therapy (metronidazole). Give antimicrobial therapy with out drainage from abscess for few month. Give treatment of billiar, GI systemic Infection that may spread to the liver is the best means of primary prevention of pyogenic liver abscess.
- 13. • SURGICAL MANAGEMENT Percutaneous drainge of the abscess with anti microbial therapy. Surgical drainage of abscess with post operative antimicrobial therapy.
- 14. • NURSING MANAGEMENT Pain management. Nutrition management. Infection protection.
- 15. 11. COMPLICATIONS Returnof abscess. Spread infection in abdomen. Overwhelming sepsis. Large abscess may ruptures penetrate the diaphragm and enter the lung. Pneumonia. Empyema.
- 16. 12. PREVENTION Givethe health education about the liver abscess. Personal hygiene and food hygiene. Proper hand washing. Eat a healthy foods. Do not drink alcohol. Boiling of water for conceptions.
- 17. • CONCLUSION Liverabscess is a common bacterial infection of the liver. Seen in poor sanitary measures. Promot diagnosis aggregation medical treatment supported by adjective surgical methods can keep morbidity and mortality to a bare minimum
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