A 35 YEAR OLD MALE WITH LIVER ABSCESS
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LIVER ABSCESS
35 year old male came to our hospital with chief complaints of upper abdomen pain since one week, fever since one week.
Patient was apparently asymptomatic 1 week ago, then developed pain abdomen which was insidious in onset, gradually progressive. Pain in right hypochondrium and gastric region with no aggravating and relieving factors.
Fever is on and off since one week, high grade not associated with chills and rigor, cold, cough, body pains, nausea vomitings, loose stools and constipation.
No history of bleeding manifestations.
PAST HISTORY
Not a k/c/o T2DM,HTN,asthma , epilepsy,TB
PERSONAL HISTORY
Diet - mixed
Appetite - decreased since 1 week
Sleep- adequate
Bowel movements- normal
Addictions- alcohol, regular, since 10 years
Smoking, 10 pack years
General physical examination
Pt is conscious, coherent, cooperative,
Icterus- present
Vitals-
Temp- afebrile
Bp-110/70 mm hg
Pr- 86 bpm
Rr-20 cpm
Spo2- 98% on RA
Systemic examination
RS- bae+, nvbs
Cvs-S1 S2 +
P/A - tenderness + at right hypochondrium and epigastric region
Sluggish bowel sounds heard
Cns- nad
X ray erect abdomen
USG
FEVER CHART
ECG
Investigations
3/2/22
HB-10.2
TLC- 17,900
PLT- 5.1
Serum amylase- 60
Serum lipase- 28
RFT
Serum urea- 37
Serum creatinine- 1.1
Sodium- 130
Potassium- 6
Chloride- 98
3/2/22
LFT
TB- 4.40
DB- 3.12
AST/ALT- 96/145
ALP- 586
TP- 5.3
Alb- 2.6
A/G- 0.94
PT -17 sec
APTT- 34 sec
INR- 1.25
Surgery referral
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