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tanmay_mehtaSend an Instant Message to tanmay_mehta  




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Quick Scroll surgery-Amoebic liver abscess............... 03.30.06 (2 years ago) #1
Amoebic liver abscess:
a. should be treated by diloxanide furoate alone
b. should be aspirated routinely
c. is associated with eosinophilia
d. usually affects the right lobe of the liver
e. occur most commonly in men aged 20-60 years
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Quick Scroll 03.30.06 (2 years ago) #2
usually affects the right lobe of the liver
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Quick Scroll Re: surgery-Amoebic <a href= 03.30.06 (2 years ago) #3
tanmay_mehta wrote:
Amoebic liver abscess:
a. should be treated by diloxanide furoate alone

False

Metronidazole is the DOC..Newer imidazoles, Chloroquine, Dehydro-emetine are also used..Diloxanide furoate should be added, to eradicate cysts and prevent further transmission.


Quote:
b. should be aspirated routinely

False :Routine aspiration of ALA is not indicated either for diagnostic or therapeutic purposes


Quote:
c.is associated with eosinophilia

False : Mainly asso with increase in PMN with toxic granulation


Quote:
d.usually affects the right lobe of the LIVER

True


Quote:
e.occur most commonly in men aged 20-60 years

True


Do correct me if Im wrong
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Quick Scroll 03.30.06 (2 years ago) #4
decmebermist i dont think there is any age preponderance for amoebic liver abscess icon_question.gif
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Quick Scroll 03.30.06 (2 years ago) #5
D is true but not sure bout E
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Quick Scroll 03.30.06 (2 years ago) #6
Amoebic liver abscess is the most common extra-intestinal manifestation of amoebiasis. All age groups may be affected.

In approximately 50% of cases there is no previous history of amoebic dysentery.

The patient typically presents with fever and right upper quadrant pain of fairly acute onset. Treatment of the fever with chloroquine may modify the clinical presentation.
Neutrophilia is usual, not eosinophilia.

The right hepatic lobe is usually affected. Abscess formation in the left lobe is an indication for drainage.


so i hink decembermist is absolutely right...
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Quick Scroll 03.30.06 (2 years ago) #7
tanmay_mehta wrote:
Amoebic <a href="http://www.rxpgonline.com/tutorial/?q=liver&s=0">liver</a>
abscess is the most common extra-intestinal manifestation of amoebiasis. All age groups may be affected.




so i hink decembermist is absolutely right...
hope u r not confused with decembermist n shaina?
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Quick Scroll 03.30.06 (2 years ago) #8
ALL AGE GROUPS ARE AFFECTED

SO I THINK IT CA ALSO OCCUR IN 20-60 YEARS AGE GROUP ALSO

I THINK THERE ARE LESS PERCENTAGE OF CASES <20 YEARS

STILL I THINK sd04 u have raised a debatable point...
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Quick Scroll 11.13.06 (1 year ago) #9
d. usually affects the right lobe of the liver (80%)
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Quick Scroll 05.12.07 (1 year ago) #10
b is wrong , and it causes neutrophilia rather than eosinophilia , later is caused by hydatid cyst disease
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