Ebook Surgical diseases: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Surgical diseases: Part 2
Ebook Surgical diseases: Part 2
Liver and Gallbladderhttps: z/khoth u vĩ en .com166 / Surgical DiseasesFIGURE 8.1: Amebic liver abscess FIGURE 8.2: Amebic liverabscess-Anchovy sauce Ebook Surgical diseases: Part 2 pusAmebic liver abscess is common in India and other tropical countries and is caused by Entamoeba histolytica. Commonly it is single large abscess in right lobe but often can be multiple. Pus is chocolate colored, anchovy-sauce type. Often abscess can be secondarily infected by bacteria. Right sid Ebook Surgical diseases: Part 2ed pleural effusion is known to occur. It can be acute or chronic or can be calcified. Amebic liver abscess can rupture into peritoneum, lung, pericarEbook Surgical diseases: Part 2
dium or into intestine which often can be fatal. Treatment is antiamebic drugs like metronidazole, chloroquine, u/s guided aspiration or open drainageLiver and Gallbladderhttps: z/khoth u vĩ en .com166 / Surgical DiseasesFIGURE 8.1: Amebic liver abscess FIGURE 8.2: Amebic liverabscess-Anchovy sauce Ebook Surgical diseases: Part 2 mechanism, lymphatic blockage or hypoproteinemia. Caput medusae is dilatation of veins around the umbilicus due to communication between paraumbilical and anterior abdominal veins.168 / Surgical DiseasesFIGURE 8.5: Hydatid cyst of the liverHydatid cyst of the liver is caused by Echinococcus granulo Ebook Surgical diseases: Part 2sus. It attains a large size slowly over few years. Three finger hydatid thrill may be positive. Pain and jaundice can occur. If cyst ruptures anaphylEbook Surgical diseases: Part 2
axis can develop, u/s is diagnostic. Praziquantel and albendazole are useful. Cetrimide and hypertonic saline are the scolicidal agents used for hydatLiver and Gallbladderhttps: z/khoth u vĩ en .com166 / Surgical DiseasesFIGURE 8.1: Amebic liver abscess FIGURE 8.2: Amebic liverabscess-Anchovy sauce Ebook Surgical diseases: Part 2d in the peritoneal cavity to identify the spilled scolices.Liver and Gallbladder /169FIGURE 8.6: Endoscopic view of FIGURE 8.7: Sengstaken-varicesBlakemore tube in situOesophageal varices due to portal hypertension are graded based on size and luminal prolapse. Acute bleeding is controlled by Sengs Ebook Surgical diseases: Part 2taken Blakemore tube in place. It can be kept in place for 72 hours. Recurrent bleeding is controlled by sclerotherapy, endoscopic variceal banding anEbook Surgical diseases: Part 2
d endoscopic intravariceal injection of Butyl-cyanacrylate (glueing) (most often for gastric varices). Shunt surgeries are not commonly used for acuteLiver and Gallbladderhttps: z/khoth u vĩ en .com166 / Surgical DiseasesFIGURE 8.1: Amebic liver abscess FIGURE 8.2: Amebic liverabscess-Anchovy sauce Ebook Surgical diseases: Part 2 patients with cirrhosis and hepatitis B and hepatitis c infection. It is unicentric and right lobe is commonly involved. Painless large palpable liver which is smooth, hard, nontender are the features. Hepatic bruit, ascites and jaundice may develop later. CT scan is a must. Early case is treated b Ebook Surgical diseases: Part 2y hemihepatectomy. Chemotherapy with adriamicin is useful. Hepatic artery ligation, intra arterial chemotherapy are other modalities available.Liver and Gallbladderhttps: z/khoth u vĩ en .com166 / Surgical DiseasesFIGURE 8.1: Amebic liver abscess FIGURE 8.2: Amebic liverabscess-Anchovy sauce Liver and Gallbladderhttps: z/khoth u vĩ en .com166 / Surgical DiseasesFIGURE 8.1: Amebic liver abscess FIGURE 8.2: Amebic liverabscess-Anchovy sauceGọi ngay
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