Back to archive

Virtual Morning Report - June 12, 2026 - Persistent RUQ Pain And Intermittent Fever

June 12, 2026

Loading video…

Chief Concern

Persistent RUQ Pain And Intermittent Fever

Presenter

Teaching Pearl

-Liver abscess without culture growth: Recent abx, anaerobes difficult to grow. Crohn's dx predisposition. Could be non-infectious. -Liver Abscess w/o: explore geographical exposure, another imaging, karius testing(can be used in previous antibiotic exposure).

-Eosinophilia: moderate to severe. Primary(bone marrow dx) vs secondary(adrenal insufficiency, allergies, drugs, infections, malignancy). -Eosinophilia + Liver Abscess: Focal dx. Less likely systemic.

-Migrating Liver Abscess + Eosinophilia; Parasites(Fasciolia)

-Positive Serology: Could just be exposure not dx. Response to treatment will help or further inv(biopsy)