ICU Decoded › Library › OPD › Gut & liver › Liver abscessLiver abscess
Gut & liver · OPD · Locked · first month free
By Dr Javed Akhtar · Last reviewed 2 October 2026
Drugs on this card
Amoebic: Metronidazole, Diloxanide furoate (after metronidazole)
Pyogenic abscess / biliary disease / low immunity: Ceftriaxone + Metronidazole
Advice and when to refer Drainage: Aspirate if over 5 cm, more than 2 abscesses, left lobe, about to rupture, or no better in 72 h — send pus for culture (NCDC-ICMR 2025)Investigations
First visit USG abdomen — Size, number and site of abscesses.CBC, LFT, creatinine, blood glucose — Baseline and diabetes.Blood culture — Before antibiotics if pyogenic is possible.Only if indicated Amoebic serology (IgG ELISA) — Uncertain cause.Aspirate for Gram stain, culture and microscopy — Over 5 cm, more than 2 abscesses, left lobe, or no response in 72 h.CT abdomen — Biliary disease or poor response.Follow-up and monitoring Repeat USG — If fever persists, to check size and rupture risk (a scar may persist for months).
Locked The adult dose for each drug The child dose, where the card gives one Indian brand names for each drug, with a link to buy Open Liver abscess in OPD
Sign in with Google and OPD is free for your first month. After that it comes with every plan. How access works .
← Irritable bowel syndrome · Upper GI bleed →
More in Gut & liver
Part of Gut & liver in OPD. Open OPD .