Liver Abscess Exists

Author: Haseeb Raza / Editor: Sarah Edwards / Codes: GP1, GP7, SLO1, SLO2 / Published: 30/08/2024

A 34-year-old male presents to the Emergency Department (ED) with a three-day history of headaches, fever, rigors, nausea, and vomiting. He also reports abdominal pain, predominantly in the right upper quadrant (RUQ). He recently returned from Sudan.

Examination showed:

• Respiratory Rate -18/min
• Oxygen Saturations – 95% on Air
• Pulse – 101 beats per min
• Blood pressure – 125/73mmHg
• Temperature of 38.7 degrees Celsius.
• Clear chest with bilateral normal air entry.
• Normal Heart Sounds, well perfused, no pedal oedema.
• Tenderness in RUQ, with guarding on deep palpation.

The relative blood results are as follows:

• Haemoglobin (Hb): 107
• White blood cell count (WCC): 18 uL
• C-reactive protein (CRP): 264 mg/L
• Alkaline phosphatase (ALP): 100 IU/L
• Alanine transaminase (ALT): 103 IU/L
• Bilirubin: 25 umol/L
• Lipase: 58 U/L

Renal function (U&Es) is within normal range.