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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

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Deciphering and Imaging Pathogenesis and Cording of Mycobacterium abscessus in Zebrafish Embryos
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Published on: September 9, 2015

Pyogenic liver abscess: Changing patterns in approach.

Ajaz A Malik1, Shams Ul Bari, Khawaja Abdul Rouf

  • 1Ajaz A Malik, Khawaja Abdul Rouf, Khurshid Alam Wani, Department of Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, Kashmir 190006, India.

World Journal of Gastrointestinal Surgery
|January 6, 2011
PubMed
Summary
This summary is machine-generated.

Surgical drainage and antibiotics remain the primary treatment for pyogenic liver abscess. Percutaneous drainage is reserved for high-risk patients, offering a potentially lower mortality rate in select cases.

Keywords:
AntibioticsLiver abscessMortalityPercutaneous drainageSurgical drainage

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Posterior Approach for Debridement of the Psoas Abscess
06:02

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

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Deciphering and Imaging Pathogenesis and Cording of Mycobacterium abscessus in Zebrafish Embryos
10:38

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Published on: September 9, 2015

Posterior Approach for Debridement of the Psoas Abscess
06:02

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Surgical Gastroenterology

Background:

  • Pyogenic liver abscess (PLA) is a serious intra-abdominal infection.
  • Optimal management strategies for PLA require continuous evaluation.
  • Identifying risk factors for mortality is crucial for effective treatment.

Purpose of the Study:

  • To define the optimal management of pyogenic liver abscess.
  • To assess emerging treatment trends for liver abscesses.
  • To evaluate treatment outcomes in a large patient cohort.

Main Methods:

  • A retrospective study of 169 patients with pyogenic liver abscess.
  • Analysis of management strategies including surgical and non-surgical drainage.
  • Evaluation of patient demographics, causative organisms, and treatment outcomes.

Main Results:

  • Surgical drainage showed a lower mortality rate (9.4%) compared to non-surgical treatment (16.66%).
  • The biliary tract was the most common source (64.97%) of liver abscess.
  • Multiple abscesses, mixed organisms, and complications significantly increased mortality.

Conclusions:

  • Transperitoneal surgical drainage combined with antibiotics is the standard treatment for pyogenic liver abscess.
  • Percutaneous drainage is a viable option primarily for high-risk patients.
  • The lethality of the underlying disease process is a key determinant of survival.