BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 发热和寒战
  • 右上腹压痛
  • 肝肿大

其他诊断因素

  • 体重减轻
  • 疲劳
  • 腹痛
  • 恶心和呕吐

危险因素

  • 胆道疾病
  • 年龄 > 50 岁
  • 恶性肿瘤基础疾病
  • 糖尿病

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 血清肝功能检查 (liver function test, LFT)
  • 血液培养
  • PT 和活化部分凝血活酶时间
全部具体信息

需要考虑的检查

  • 胸部 X 线检查 (CXR)
  • 溶组织内阿米巴的血清抗体检测
  • 粪便溶组织内阿米巴抗原检测试验
  • 脓肿抽吸夜的抗原检测或 PCR
全部具体信息

治疗流程

贡献者

Assistant Professor of Medicine

Section of Infectious Diseases

Boston University

Boston

MA

利益冲突披露
RPS has been reimbursed by DynaMed for reviewing topics on cellulitis, skin abscess, and mammalian bites. There is no overlap in content to this topic. RPS also receives an honorarium for writing and editing American Board of Internal Medicine board examination questions.

Professor of Medicine

Harvard Medical School and Tufts University School of Medicine

Boston

MA

利益冲突披露
LSF has received royalties from Elsevier, Wiley, McGraw-Hill, and UpToDate, and has received honoraria from the American Society for Gastrointestinal Endoscopy and the American Board of Internal Medicine.

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Consultant Physician

Liver Unit

Queen Elizabeth Hospital

Birmingham

UK

利益冲突披露
JN declares that he has no competing interests.

Assistant Professor of Medicine

University of Chicago

Center for Liver Disease

Chicago

IL

利益冲突披露
NR declares that she has no competing interests.

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