Amoebic Liver Abscess
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Amoebic Liver Abscess
A amoebic liver abscess is a type of liver abscess caused by amebiasis. It is the involvement of liver tissue by trophozoites of the organism ''Entamoeba histolytica'' and of its abscess due to necrosis. Presentation Approximately 90% of patients with ''E histolytica'' are asymptomatic. The two most common manifestations of ''E histolytica'' include colitis (bloody stool with mucus, abdominal pain, and/or diarrhea), and discovery of a liver abscess on imaging. Liver abscess' commonly present as right upper quadrant abdominal pain and fever, with worsening features associated with abscess rupture. Symptoms * Pain right hypochondrium referred to the right shoulder * Pyrexia (100.4 F) * Profuse sweating and rigors * Loss of weight * Earthy complexion Signs * Pallor * Tenderness and rigidity in right hypochondrium * Palpable liver * Intercostal tenderness * Basal lung signs Diagnosis Diagnosis is primarily made by identifying stool ova and parasites on stool antigen testing in t ...
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Liver Abscess
A liver abscess is a mass filled with pus inside the liver. Common causes are abdominal conditions such as appendicitis or diverticulitis due to haematogenous spread through the portal vein. It can also develop as a complication of a liver injury. Causes Risk factors for developing liver abscess can be due to infection, post-procedural infection and metastasis such as primary liver tumours, liver metastasis, biliary procedures, biliary injuries, biliary tract disease, appendicitis, and diverticulitis. Major bacterial causes of liver abscess include the following: * ''Streptococcus'' species (including ''Enterococcus'') * ''Escherichia'' species * ''Staphylococcus'' species * ''Klebsiella'' species (Higher rates in the Far East) * Anaerobes (including ''Bacteroides'' species) * ''Pseudomonas'' species * ''Proteus'' species * Entamoeba Histolytica However, as noted above, many cases are polymicrobial. Diagnosis Types There are several major forms of liver abscess, classified ...
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Needle Aspiration Biopsy
Fine-needle aspiration (FNA) is a diagnostic procedure used to investigate lumps or masses. In this technique, a thin (23–25 gauge (0.52 to 0.64 mm outer diameter)), hollow needle is inserted into the mass for sampling of cells that, after being stained, are examined under a microscope (biopsy). The sampling and biopsy considered together are called fine-needle aspiration biopsy (FNAB) or fine-needle aspiration cytology (FNAC) (the latter to emphasize that any aspiration biopsy involves cytopathology, not histopathology). Fine-needle aspiration biopsies are very safe minor surgical procedures. Often, a major surgical (excisional or open) biopsy can be avoided by performing a needle aspiration biopsy instead, eliminating the need for hospitalization. In 1981, the first fine-needle aspiration biopsy in the United States was done at Maimonides Medical Center. Today, this procedure is widely used in the diagnosis of cancer and inflammatory conditions. Aspiration is safer and ...
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Inflammation
Inflammation (from la, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants, and is a protective response involving immune cells, blood vessels, and molecular mediators. The function of inflammation is to eliminate the initial cause of cell injury, clear out necrotic cells and tissues damaged from the original insult and the inflammatory process, and initiate tissue repair. The five cardinal signs are heat, pain, redness, swelling, and loss of function (Latin ''calor'', ''dolor'', ''rubor'', ''tumor'', and ''functio laesa''). Inflammation is a generic response, and therefore it is considered as a mechanism of innate immunity, as compared to adaptive immunity, which is specific for each pathogen. Too little inflammation could lead to progressive tissue destruction by the harmful stimulus (e.g. bacteria) and compromise the survival of the organism. In contrast, too much inflammation, in ...
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Necrosis
Necrosis () is a form of cell injury which results in the premature death of cells in living tissue by autolysis. Necrosis is caused by factors external to the cell or tissue, such as infection, or trauma which result in the unregulated digestion of cell components. In contrast, apoptosis is a naturally occurring programmed and targeted cause of cellular death. While apoptosis often provides beneficial effects to the organism, necrosis is almost always detrimental and can be fatal. Cellular death due to necrosis does not follow the apoptotic signal transduction pathway, but rather various receptors are activated and result in the loss of cell membrane integrity and an uncontrolled release of products of cell death into the extracellular space. This initiates in the surrounding tissue an inflammatory response, which attracts leukocytes and nearby phagocytes which eliminate the dead cells by phagocytosis. However, microbial damaging substances released by leukocytes would cre ...
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Hamsters
Hamsters are rodents (order Rodentia) belonging to the subfamily Cricetinae, which contains 19 species classified in seven genera.Fox, Sue. 2006. ''Hamsters''. T.F.H. Publications Inc. They have become established as popular small pets. The best-known species of hamster is the golden or Syrian hamster (''Mesocricetus auratus''), which is the type most commonly kept as pets. Other hamster species commonly kept as pets are the three species of dwarf hamster, Campbell's dwarf hamster (''Phodopus campbelli''), the winter white dwarf hamster (''Phodopus sungorus'') and the Roborovski hamster (''Phodopus roborovskii''). Hamsters are more crepuscular than nocturnal and, in the wild, remain underground during the day to avoid being caught by predators. They feed primarily on seeds, fruits, and vegetation, and will occasionally eat burrowing insects. Physically, they are stout-bodied with distinguishing features that include elongated cheek pouches extending to their shoulders, whi ...
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Gerbils
Gerbillinae is one of the subfamilies of the rodent family Muridae and includes the gerbils, jirds, and sand rats. Once known as desert rats, the subfamily includes about 110 species of African, Indian, and Asian rodents, including sand rats and jirds, all of which are adapted to arid habitats. Most are primarily active during the day, making them diurnal (but some species, including the common household pet, exhibit crepuscular behavior), and almost all are omnivorous. The gerbil got its name as a diminutive form of "jerboa," an unrelated group of rodents occupying a similar ecological niche. Gerbils are typically between long, including the tail, which makes up about half of their total length. One species, the great gerbil (''Rhombomys opimus''), originally native to Turkmenistan, can grow to more than . The average adult gerbil weighs about . One species, the Mongolian gerbil (''Meriones unguiculatus''), also known as the ''clawed jird'', is a gentle and hardy animal ...
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Mice
A mouse ( : mice) is a small rodent. Characteristically, mice are known to have a pointed snout, small rounded ears, a body-length scaly tail, and a high breeding rate. The best known mouse species is the common house mouse (''Mus musculus''). Mice are also popular as pets. In some places, certain kinds of field mice are locally common. They are known to invade homes for food and shelter. Mice are typically distinguished from rats by their size. Generally, when a muroid rodent is discovered, its common name includes the term ''mouse'' if it is smaller, or ''rat'' if it is larger. The common terms ''rat'' and ''mouse'' are not taxonomically specific. Typical mice are classified in the genus ''Mus'', but the term ''mouse'' is not confined to members of ''Mus'' and can also apply to species from other genera such as the deer mouse, ''Peromyscus''. Domestic mice sold as pets often differ substantially in size from the common house mouse. This is attributable to breeding an ...
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Serological
Serology is the scientific study of serum and other body fluids. In practice, the term usually refers to the diagnostic identification of antibodies in the serum. Such antibodies are typically formed in response to an infection (against a given microorganism), against other foreign proteins (in response, for example, to a mismatched blood transfusion), or to one's own proteins (in instances of autoimmune disease). In either case, the procedure is simple. Serological tests Serological tests are diagnostic methods that are used to identify antibodies and antigens in a patient's sample. Serological tests may be performed to diagnose infections and autoimmune illnesses, to check if a person has immunity to certain diseases, and in many other situations, such as determining an individual's blood type. Serological tests may also be used in forensic serology to investigate crime scene evidence. Several methods can be used to detect antibodies and antigens, including ELISA, agglutination, p ...
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Liver Function Tests
Liver function tests (LFTs or LFs), also referred to as a hepatic panel, are groups of blood tests that provide information about the state of a patient's liver. These tests include prothrombin time (PT/INR), activated partial thromboplastin time (aPTT), albumin, bilirubin (direct and indirect), and others. The liver transaminases aspartate transaminase (AST or SGOT) and alanine transaminase (ALT or SGPT) are useful biomarkers of liver injury in a patient with some degree of intact liver function. Most liver diseases cause only mild symptoms initially, but these diseases must be detected early. Hepatic (liver) involvement in some diseases can be of crucial importance. This testing is performed on a patient's blood sample. Some tests are associated with functionality (e.g., albumin), some with cellular integrity (e.g., transaminase), and some with conditions linked to the biliary tract (gamma-glutamyl transferase and alkaline phosphatase). Because some of these tests do not m ...
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Sigmoidoscopy
Sigmoidoscopy (from the Greek term for letter " s/ς" + "eidos" + "scopy": namely, to look inside an "s"/"ς"-like object) is the minimally invasive medical examination of the large intestine from the rectum through to the nearest part of the colon, the sigmoid colon. There are two types of sigmoidoscopy: flexible sigmoidoscopy, which uses a flexible endoscope, and rigid sigmoidoscopy, which uses a rigid device. Flexible sigmoidoscopy is generally the preferred procedure. A sigmoidoscopy is similar to, but not the same as, a colonoscopy. A sigmoidoscopy only examines up to the sigmoid, the most distal part of the colon, while colonoscopy examines the whole large bowel. Flexible sigmoidoscopy Flexible sigmoidoscopy enables the physician to look at the inside of the large intestine from the rectum to the left side of the colon, called the sigmoid. Physicians may use the procedure to find the cause of diarrhea, abdominal pain, or constipation. They also use it to look for benign a ...
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