Multiple liver abscess (?pyogenic)

A 55 year old male resident of Nunavathanda came to opd with
Chief complaint of
Pain abdomen at right hypochondrium and lumbar region , decreased appetite & SOB (shortness of breath) since 20 days for which he went to a local hospital and diagnosed as Multiple liver abscess(? Pyogenic)-unliquified and treated with IV antibiotics.

No H/O Fever,vomitings,loose stools,no other complaints
H/O TB 10 years back used medications for 5-6 months
Not a k/c/o HTN,DM, Asthma,CAD.


Treatment history
He used medications for TB 10 years back for 5 months.


Personal history;
Diet:Mixed
Appetite:Normal
Sleep:Regular
Bowel and bladder:Regular
Occupation: farmer
Patient consumes 180 ml of alcohol daily since 40 years
He smokes sutta 3/day since 40 years

O/E:
Pt c/c/c
PR: 86 bpm
BP:110/80 mmhg
CVS: S1 S2 + , no murmurs
RS: BAE + , NVBS
P/A: soft , Tenderness + in right hypochondrium
CNS: NFND

Investigations

serum electrolytes:

serum creatinine:
blood urea
hemogram:


liver function test:


ECG of patient:

Ultrasound report:









Diagnosis:
Multiple liver abscess (?pyogenic)

Treatment on
1/07/21(day1)-
Inj.MEROPENAM 1gm IV/BD
INJ.METROGYL 100ml NS IV/TID
INJ.TRAMADOL 1amp in 100ml NS IV/OD
BP/PR/Temp/SpO2 monitering

current status of patient ; DISCHARED on 3rd of july 

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