Acute cholecystits
Acute cholecystits – Clinical
Severe pain
Vomiting
Mild jaundice in some case.
Investigation – AP, serum bilirubin, ultrasound, Xray,
Treatment
Conservative management
Nil by mouth, IV fluid, antibiotic,
Liver abscess
Pyogenic abscess
Cause not know
Can be single or several abscess
Common in elderly.
Can be with fever, abdominal pain..etc
May be not ill and last for days.
Management – aspiration with under ultrasound and antibiotics.
Liver abscess
Amoebic abscess
Entamoeba histolytica
Gradual onset – fever, anorexia, weight loss.
Treatment – aspiration, metronidazole.