Amoebic liver abscess history and symptoms
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Specific areas of focus when obtaining a history from the patient include history of recent travel to or resident of endemic areas, time of onset (duration of symptoms <14 days), history of dysentery within the previous few months, fever and abdominal pain.Symptoms of amoebic liver abscess include moderate to severe abdominal pain, malaise, loss of appetite, sweating, weight loss, epigastric pain (Commonly seen in left lobe abscesses), fever (high fever with chills is suggestive of secondary bacterial infection), anorexia, pleuritic chest pain, Cough with or without expectoration and chest pain (may be due to abscess rupture into the pleural cavity), jaundice, confusion, abdominal distension, nausea and vomiting, diarrhea and constipation
Specific areas of focus when obtaining a history from the patient include history of amoebic liver abscess include:
- History of recent travel to or resident of endemic areas
- Time of onset (duration of symptoms <14 days)
- History of dysentery within the previous few months
- History of fever and abdominal pain
- Moderate to severe abdominal pain
- Malaise (uneasiness, or ill feeling)
- Loss of appetite
- Nausea and vomiting
- Weight loss
- Epigastric pain (Commonly seen in left lobe abscesses)
- Fever (high fever with chills is suggestive of secondary bacterial infection)
Symptoms associated with complications
- Pleuritic chest pain
- Cough with or without expectoration and chest pain (may be due to abscess rupture into the pleural cavity)
- Yellow discoloration of skin (Jaundice is seen in 1/3 of patients)
- Confusion (due to encephalopathy)
- Abdominal distension (due to ascites)
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