Australian Medical Exam Preparation

Discussion AMC MCQ Exam, AMC Clinical exam
 
HomeHome  FAQFAQ  SearchSearch  RegisterRegister  Log in  

Share | 
 

 Question-237

Go down 
AuthorMessage
rafia



Points : 42335
Join date : 2014-04-06

PostSubject: Question-237   Sat Apr 12, 2014 11:41 am

A 50 year old heavy alcoholic man came with ascites, enlarged liver 4 cm below costal margin , his abdomen is tender and his temp. is 37.9 c his blood pressure is 100/60 which of the following is best treatment for current problem ?


a. IV metronindazole + amoxicillin
b. IV metronindazole + amoxicillin + gentamycin
c. Paracentesis
d. Oral amox. Clax.
e. IV albumin
Back to top Go down
indymuthiah



Points : 41953
Join date : 2014-04-11

PostSubject: Re: Question-237   Sun Apr 13, 2014 2:04 am

a)-IV metrondazole + amoxicillin ( Treatment of suspected Liver Abscess )
Back to top Go down
Vistamosta



Points : 40775
Join date : 2014-06-07
Age : 51
Location : WA

PostSubject: Re: Question-237   Tue Jun 10, 2014 7:21 am

The paitent is suspected to pyogenic liver Abcess.Thus broad spectrum antibiotics should be started before waiting for culture results. Use a penicillin, an aminoglycoside and metronidazole. A third-generation cephalosporin can be considered in the elderly or if renal function is impaired.[10] Antibiotic therapy can be modified once culture results are available. Treatment may be needed for up to 12 weeks and should be guided by the clinical picture and radiological monitoring
http://www.patient.co.uk/doctor/Liver-Abscesses-and-Cysts.
•Drainage:
•Most patients with pyogenic liver abscess and those with very large amoebic abscesses, may not recover with antibiotics alone and need drainage guided by ultrasonography or CT.
•Percutaneous aspiration can be carried out for small abscesses although catheter drainage has become the standard of care. Larger abscesses may also need catheter drainage which is also CT- or ultrasound-guided. Drainage should also be carried out if there is impending rupture.
•Open surgery may be necessary if the abscess has ruptured and there are signs of peritonitis, if the abscess is larger than 5 cm or multiloculated, or if there is a known abdominal pathology such as appendicitis.
http://www.patient.co.uk/doctor/Liver-Abscesses-and-Cysts.
I think c. Paracentesis will help the patient first followedby Antibiotic therapy (B)
Back to top Go down
Masoud



Points : 36977
Join date : 2014-11-03

PostSubject: Re: Question-237   Wed Nov 19, 2014 3:59 am

b
Back to top Go down
Sponsored content




PostSubject: Re: Question-237   

Back to top Go down
 
Question-237
Back to top 
Page 1 of 1

Permissions in this forum:You cannot reply to topics in this forum
Australian Medical Exam Preparation :: AMC MCQ Exam-
Jump to: