Gastroenterology International

Acute abdomen is considered as the high level of suspicion and high index of clinical exposure with judicious examination and relevant investigations, none of the one can masters in all. It all requires the judicious use of the all the things together to bring out the best in the provisional diagnosis and best in the interest of the sick presented in emergency room with limited history and blood investigation carried out by practitioner at the different place. Sometimes the things will be made more complicated when the diagnosis and blood investigation doesn’t matches even with the radiological investigations. This text has been designed to explain the importance of each other with each one in the better and contained manner to help the learner and the medical students those who are wish to work in emergency field and the emergency arrives with young gentleman with acute abdomen.The case discussed here is the live example of combination and importance of the altogether

COVID 19 is a deadly Pandemic and effecting people throughout the world. Whole world is looking for the varied option for treatment and the second wave has almost caused the lot of mortality and morbidity.1 Lot of patient came out with the complications such as Mucormycosis, raised glycemic level with many more adverse reaction. The corticosteroids being the most important remedy later proved to the disease enhancement and complication. In the similar way the antiviral drugs used are either Oral and intravenous not caused much of reduction n the mortality and hospitalization stay. No specific antiviral drugs have been approved for the treatment of COVID-19. Favipiravir is a promising drug for COVID-19 that decreases the hospital stay and the need for mechanical ventilation.2 In this present study the 40 patient have been treated with three groups made treated with Corticosteroids alone, along with Antiviral Oral and Intravenous: Favipiravir & Remdesivir. After analyzing the data is found that none of the antiviral has made significant reduction in the hospitalization stay treated at IPD of chugh Multispeciality Hospital. Thus concluded that patient treated along with corticosteroids along with Antiviral oral and intravenous doesn’t make any significant changes in the hospital stay

Background: Percutaneous drainage of the liver abscess may be difficult in caudate lobe abscess due to the
anatomical position. It is also associated with significant pain and few complications. Surgical management of
such abscesses is associated with morbidity. An alternative option is Endoscopic ultrasound guided aspiration or
drainage through stomach wall in view of anatomic proximity to the caudate lobe.
Methods: Five consecutive patients who presented with symptomatic caudate lobe liver abscess were selected
from 2015 till 2019. In all the five patients, percutaneous drainage was considered difficult by the interventional
Radiologist. In them, Endosonography guided aspiration/drainage was done through the gastric wall under
sedation.
Results: All the five patients had a successful clinical outcome with less pain following EUS guided abscess
drainage.
Conclusion: EUS guided aspiration or drainage of liver abscesses is feasible, less painful and a safe option in
patients where percutaneous drainage may be difficult