clinical medicine

1. Abscess
part 1
Dr md shahriar kabir, BHMS (DU)
Lecturer, Chronic disease, case taking & repertory
Govt. Homoeopathic Medical College
Mirpur14, Dhaka 1206
Bangladesh
web: www.microdoshomoeopathi.com
E-mail: microdoshirok@gmail.com
Phone: +8801712966190
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2. Introduction
An abscess is a collection of pus that has built up within the tissues of the body.
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3. Locations & types
Skin- cutaneous or sub cutaneous abscess
Lungs- internal abscess.
Brain- internal abscess.
Teeth- internal abscess.
Kidneys- internal abscess.
Tonsils - internal abscess.
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4. Carbuncles & boils
They are some types of abscess that often involve hair follicles, with carbuncles
being larger.
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5. Causes
• Bacteria:
Methicillin- resistant staphylococcus aureus
• parasite:
Dracunculiasis & myiasis
• Intravenous drugs use.
• Surgical incisions.
• Disc herniation & others spinal abnormality.
• Inflammatory bowel diseases( Crohn's disease).
• Diabetes.
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6. Pathophysiology
It is a defensive reaction of the tissues- to prevent the spread of infectious material
to others parts of the body.
1. The organism kill the local cells by release of cytokines.
2. The cytokines trigger an inflammatory response.
3. Which draw large numbers of WBC to the area & increase the regional blood
flow.
4. Wall- capsule, that is formed by the adjacent healthy cells in an attempt to keep
the puss from infecting neighboring structures.
5. Such encapsulation tends to prevent immune cells from attacking bacteria in
the pus or from reaching the causative organisms.
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7. Signs & symptoms
In skin abscess :- Redness; heat; swelling; pain ; high temperature ; chill & loss of
functions.
In internal abscess:-
Pain in affected area; high temperature
And present with affected aria related others symptoms.
Perianal abscess:-
Lump of tissues near the anus
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8. Complications
Spreading of the abscess materials to adjacent tissues or remote tissues.
Tissues death.
Gangrene.
Septicemia.
Systemic shock.
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9. Prognosis
Skin abscess are common & prognosis is not bad.
Internal abscess are harder to diagnose & more serious.
It may become critical with septicemia; may Couse systemic shock.
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