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Medicine

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Liver & GIT

Question
4 out of 13
 

Treatment of Hydatid cysts is (LQ)



A Albendazole
B Metronidazole

C Ofloxacin
D Needle Aspiration

Ans. A Albendazole

Hydatid Cysts

1. Hydatid cysts are caused by echinococcusgranulosus infection.

2. They have an outer layer derived from the host, an intermediate laminated layer and an inner germinal layer.

3. Can be single or multiple.

4. Chronic cysts become calcified.

5. The cysts may be asymptomatic but may present with abdominal pain or a mass.

6. There may be a peripheral blood eosinophilia, X-rays may show calcification , imaging shows the cyst(s), and serological tests are positive in 50% of cases.

7. Rupture or secondary infection of cysts can occur, and a communication with the intrahepatic biliary tree can then result.

8. All patients are treated medically with albendazole or mebendazole prior to definitive therapy, in the absence of communications with the biliary tree, treatment of percutaneous aspiration of the cyst following by then aspiration of the cyst content (PAIR).

9. Where communication occurs between the cyst and biliary system, surgical removal of the intact cyst is the preferred treatment.

Liver & GIT Flashcard List

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