Amoebic liver abscess differential diagnosis: Difference between revisions
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Amoebic liver abscess must be differentiated from other diseases that cause [[fever]], [[pain, cough, jaundice, hepatomegaly | Amoebic liver abscess must be differentiated from other diseases that cause [[fever]], [[pain, cough, jaundice, hepatomegaly | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
<div style="width: 85%;"> | <div style="width: 85%;"> | ||
<small> | <small> | ||
{| class="wikitable" | {| class="wikitable" | ||
! rowspan=" | ! rowspan="3" |Disease | ||
! rowspan=" | ! rowspan="3" |Causes | ||
! colspan=" | ! colspan="12" |symptoms | ||
! colspan="4" |Lab Findings | ! colspan="4" |Lab Findings | ||
! colspan=" | ! colspan="6" |Imaging Findings | ||
! rowspan=" | ! rowspan="3" |Other findings | ||
|- | |- | ||
!Fever | ! rowspan="2" | Fever | ||
!Pain | ! colspan="3" | Pain | ||
!cough | ! rowspan="2" | cough | ||
!Hepatomegaly | ! rowspan="2" | Hepatomegaly | ||
!Jaundice | ! rowspan="2" | Jaundice | ||
!Weight loss | ! rowspan="2" | Weight loss | ||
!Anorexia | ! rowspan="2" | Anorexia | ||
!Diarrhoea | ! rowspan="2" | Diarrhoea | ||
or | or | ||
Dysentry | Dysentry | ||
!Nausea and | ! rowspan="2" | Nausea and | ||
vomiting | vomiting | ||
!Stool | ! rowspan="2" | Stool | ||
!Dark color urine | ! rowspan="2" | Dark color urine | ||
!Complete blood picture | ! rowspan="2" | Complete blood picture | ||
!Liver Function Tests | ! rowspan="2" | Liver Function Tests | ||
!ESR | ! rowspan="2" | ESR | ||
!C-reactive protein | ! rowspan="2" | C-reactive protein | ||
!X Ray | ! rowspan="2" | X Ray | ||
!USG | ! rowspan="2" | USG | ||
!CT | ! rowspan="2" | CT | ||
!MRI | ! rowspan="2" | MRI | ||
!Other Imaging Studies | ! rowspan="2" | Other Imaging Studies | ||
|- | |||
! | |||
! | |||
! | |||
|- | |- | ||
|Amoebic liver abscess | |Amoebic liver abscess | ||
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|✔✔ | |✔✔ | ||
|✔ | |✔ | ||
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|✔ | |✔ | ||
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* Acid fast bacilli | * Acid fast bacilli | ||
|✔ | |✔ | ||
|✔ | |||
| | |||
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|✔ | |✔ | ||
|✔ | |✔ | ||
|✔ | |✔ | ||
|✔ | |✔ | ||
(acute loss) | (acute loss) | ||
|✔ | |✔ | ||
| | |✔ | ||
|✔ | |✔ | ||
|Pale/dark | |Pale/dark | ||
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|Fungal liver abscess | |Fungal liver abscess | ||
|Candida species | |Candida species | ||
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Line 128: | Line 137: | ||
* Alcohol | * Alcohol | ||
* Oral contraceptive pills | * Oral contraceptive pills | ||
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|Echinococcal (hydatid) cyst | |Echinococcal (hydatid) cyst | ||
|Echinococcus granulosus | |Echinococcus granulosus | ||
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*Alpha 1 antitrypsin deficiency | *Alpha 1 antitrypsin deficiency | ||
*Non alcoholic fatty liver disease | *Non alcoholic fatty liver disease | ||
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Revision as of 16:29, 16 February 2017
Amoebic liver abscess Microchapters |
Diagnosis |
Treatment |
Case Studies |
Amoebic liver abscess differential diagnosis On the Web |
American Roentgen Ray Society Images of Amoebic liver abscess differential diagnosis |
Risk calculators and risk factors for Amoebic liver abscess differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Amoebic liver abscess must be differentiated from other diseases that cause fever, [[pain, cough, jaundice, hepatomegaly
Differential Diagnosis
Disease | Causes | symptoms | Lab Findings | Imaging Findings | Other findings | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Fever | Pain | cough | Hepatomegaly | Jaundice | Weight loss | Anorexia | Diarrhoea
or Dysentry |
Nausea and
vomiting |
Stool | Dark color urine | Complete blood picture | Liver Function Tests | ESR | C-reactive protein | X Ray | USG | CT | MRI | Other Imaging Studies | |||||
Amoebic liver abscess | Entamoeba histolytica | ✔✔ | ✔ | ✔/✘ | ✔
(late stages) |
✔ | ✔ | More ill appearing than pyogenic abscess
More fever than pyogenic Needle aspiration: Fluid from an ALA is odorless,reddish brown anchovy paste | ||||||||||||||||
Pyogenic liver abscess | Bacteria
|
✔ | ✔ | ✔ | ✔ | ✔ | ✔
(acute loss) |
✔ | ✔ | ✔ | Pale/dark | ✔ | ||||||||||||
Fungal liver abscess | Candida species | |||||||||||||||||||||||
Necrotic hepatoma |
|
|||||||||||||||||||||||
Echinococcal (hydatid) cyst | Echinococcus granulosus | |||||||||||||||||||||||
Malignancy
(Hepatocellular carcinoma/Metastasis) |
|