Image Challenge Q: What is the diagnosis in this patient who presented with high fever? 1. Bowel infarction 2. Caval thrombophlebitis 3. Hepatoma 4. Liver.

Slides:

Advertisements

Similar presentations

CASE HISTORY Yu Gang. General information Age: 13-year-old Sex: male Nationality: U.K.

Advertisements

IMAGE CHALLENGE. A 72-year-old man presented to the emergency department with severe abdominal pain of two days' duration in the right lower quadrant.

Joint Hospital Surgical Grand Round Carmen C.W. Chu Department of Surgery, Pamela Youde Nethersole Eastern Hospital.

IMAGE CHALLENGE. A 51-year-old woman with a history of hypertension and chronic constipation presented with abdominal pain of 2 weeks' duration. The.

Post OP Glucose Control For Cardiac Surgery The Society of Thoracic Surgeons Workforce guidelines (Lazar, 2009) recommended cardiac surgery patients, with.

Rhodococcus equi Pneumonia

Pneumonia Why do we need to know about it? Long recognized as a major cause of death, Pneumonia has been studied intensively since late 1800s. Despite.

Pylephlebitis Megan Brundrett October 19, Outline Etiology Etiology Microbiology Microbiology Clinical Manifestations Clinical Manifestations Diagnosis.

Lung Abscess Sung Chul Hwang, M.D. Dept. of Pulmonary and Critical Care Medicine Ajou University School of Medicine.

SEPSIS Early recognition and management. Aims of the talk Understand the definition of sepsis and severe sepsis Understand the clinical significance of.

Pneumonia Anastasios Skountzouris Anatomy 1B 2/3/12.

Fungal Infections Who is at Risk Seriously ill patients being treated with Corticosteroids Antineoplastic drugs Immunosuppressive drugs Patients with.

Epidural Abcess. Note: Dura adheres to the skull above the foramen magnum and anteriorly down to L1.

M_MAHMOUDIEH General Surgeon Department of Surgery.

Pre and Postoperative Care Dept of Surgery Yong Loo Lin School of Medicine National University of Singapore.

Cultural Visual Literacy Images Americans Should Recognize.

Acute Abdomen-2 Prof.Pervez Iqbal Professor of surgery.

Russian Scientific Society of Cardiology 1st Vice-president

CROHN’S DISEASE Alison Cunliffe. What is Crohn’s Disease?  Chronic inflammatory disease of the intestines  Causes ulcerations, breaks in the lining,

Behzad Nakhaei, M.D., FICS Fellowship in HepatoBiliary Surgery Mc Gill University RUQ & Upper Abdomen Inflammation & Infection GallBladder & Biliary System.

Primary Sclerosing Cholangitis

Case Study One Table # 4. Anola Jean Brown 87 year-old female 87 year-old female Febrile Febrile Delirious Delirious Breathing rapidly Breathing rapidly.

ERYSIPELAS William Njoroge ML 610.

Primary Pyomyositis by J. Bickels, L. Ben-Sira, A. Kessler, and S. Wientroub J Bone Joint Surg Am Volume 84(12): December 1, 2002 ©2002 by The.

 17  16  49 PorterWhitlowAcute appendicitis, perforated 3/13 - Laparoscopic appendectomy Abscess VuWhitlowColon cancer3/9 - Right hemicolectomy Leak,

Colonoscopic Perforation Jared Torkington Cardiff.

Beginning January 1, 2012 the beta blocker measure will be expanded. To pass this measure, patients on beta blocker therapy at home, must receive one.

Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein.

Choose an image START MORE DINOSAURS REVEAL ANSWER THE SUM WOULD BE WRITTEN LIKE THIS.

NYU Medical Grand Rounds Clinical Vignette Han Na Kim PGY-3 February 7, 2012 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

ABSCESS PREVENTION AND MANAGEMENT. How can infections be prevented?  Encourage injecting in sites far from the abscess area (at least 12 inches away.

SALMONELLA Important Gram-negative Lactose Produce H 2 S.

Pyogenic Liver Abscess 소화기내과 R4 신아리 MGR Disease Review.

1-Introduction. 2-Pathology and Pathogenesis. 3-Clinical Manifestations. 4-Diagnosis. 5-Treatment. 6-Prognosis.

Some Important Chest Diseaes

Aggregatibacter aphrophilus pyogenic liver abscess in an immunocompetent young woman Kochung Tsui, Chim-Ren Tsai, Li-Chen Lin, Chiou-Chu Yang, Cheng-Hua.

Low back pain, fever and chills for one week

Manangement of Tubo-ovarian Abscess

Liver abscess of the caudate lobe due to Staphylococcus aureus in an ulcerative colitis patient: First case report Andreia Albuquerque, Fernando Magro,

Early diagnosis and therapeutic choice of Klebsiella pneumoniae liver abscess Jing LI;Ying FU;Ji-Yao WANG;Chuan-Tao TU;Xi-Zhong SHEN;Lei LI;Wei JIANG.

Figure 1. Brain imaging findings in chronological order: (A) initial brain CT shows negative findings on HD 3; (B) follow-up brain MRI (T2WI, enhanced)

Dr. Kevin J. Pacheco Abdominal Pain.

Image Challenge Q: What is the most likely diagnosis associated with fever and jaundice and these image findings? 1. Pancreatitis 2. Pyelonephritis 3.

A PATIENT WITH INFECTIOUS BACK PAIN: CLINICAL AND THERAPEUTIC ISSUES.

A Quick Review: Preventing Ventilator-Associated Pneumonia (VAP)

Melioidosis in a Returning Traveler

Liver abscess due to Bacillus cereus: a case report

Bacterial infection, unspecified A49.9

Common respiratory diseases

Valley Fever (Coccidioidomycosis) Incidence of Valley Fever in the US.

In situ rifampin-soaked grafts with omental coverage and antibiotic suppression are durable with low reinfection rates in patients with aortic graft enteric.

Klebsiella pneumoniae liver abscesses

Deresusitasi Sepsis.

Fig. 5. A 75-year-old woman with severe aortic stenosis and aortic dissection managed by aortic valve replacement and ascending aorta and hemiarch replacement.

Infected splenic artery aneurysm with associated splenic abscess formation secondary to bacterial endocarditis: Case report and review of the literature

The feasibility of endovascular aortic repair strategy in treating infected aortic aneurysms Chung-Dann Kan, MD, PhD, Hsu-Ting Yen, MD, Chung-Ben Kan,

Answer to Case of the Month #155

Leonard F. Greenberg, M.D., S. Benham Kahn, M.D. Diseases of the Chest

Nonspecific interstitial pneumonia in a woman a, c) at the time of Sjögren's syndrome diagnosis and b) after 3 years. a, b) High-resolution computed tomography.

Treatment of primary infected aortic aneurysm without aortic resection

New Direct-Acting Antiviral Agents Can Be Hepatotoxic in Patients With Hepatitis C Virus Infection and Decompensated Cirrhosis Pengcheng Ou, MD, Fangfang.

Four-Year Complete Remission in a Patient with Metastatic Epidermal Growth Factor Receptor–Mutated Lung Cancer Treated with Two Cycles of Erlotinib Brendan.

J.J. Keller, M.-C. Tsai, C.-C. Lin, Y.-C. Lin, H.-C. Lin

Quiz page answers september 2003

superior mesenteric vein thrombosis complicating a pancreatitis

Mycotic aneurysm of the abdominal aorta with retroperitoneal abscess: Successful endovascular repair Thomas A Koeppel, MD, Johannes Gahlen, MD, Steffen.

Patient 4 is a 56-year-old woman with a baseline blood pressure of 156/68 who developed a thigh abscess with culture growing mixed flora (Klebsiella pneumonial.

Noncontrast computed tomography of patient C. B

Computed tomography images of the abdomen of a 53-year-old man, showing ascites (denoted by *) before and after the treatment of pulmonary Mycobacterium.

Presentation transcript:

Image Challenge Q: What is the diagnosis in this patient who presented with high fever? 1. Bowel infarction 2. Caval thrombophlebitis 3. Hepatoma 4. Liver abscess 5. Perforated gastric ulcer

Image Challenge Q: What is the diagnosis in this patient who presented with high fever? Answer: Liver abscess Computed tomography of the abdomen reveals a gas-forming infection in the caudate lobe of the liver. Cultures of material from percutaneous drainage of the liver abscess all grew Klebsiella pneumoniae. The syndrome of primary liver abscess caused by K. pneumoniae infection with sepsis is well recognized, particularly in Taiwan and Southeast Asia. It can be associated with gas formation and metastatic infection. This patient was treated with antibiotic agents and recovered.