Hydatid Cysts

HYDATID CYSTS 1. CHIEF COMPLAINT •Hydatid cysts 2. HPI 3. ROS 4. SYMPTOMS •Cough •Low-Grade fever •Sensation of abdominal fullness •Abdominal pain •Biliary colic •Jaundice •Urticaria •Hydatid emesia •Hydatid enterica •Chronic cough •Dyspnea •Pleuritic chest pain •Hemoptysis •Headache •Dizziness •Decreased level of consciousness 5. HISTORY •FAMILY HISTORY •SOCIAL HISTORY •PAST MEDICAL HISTORY •SURGICAL HISTORY •CHRONIC CONDITIONS 6. ALLERGIES 7. PHYSICAL EXAMINATION •Jaundice •Spider angiomas •Urticaria •Erythema •Fever

•Hypotension •Decreased breath sounds over the affected area are signs of airway obstruction with consolidation of the affected segment, lobule, lobe, or the whole lung •Abdominal tenderness •Hepatomegaly •A mass may be felt •Ascites •Splenomegaly •Tenderness over the affected area •Decreased visual acuity •Blindness •Exophthalmos 8. SPECIFIC DATA LIKE GRADING ETC 9. TESTS TO BE ORDERED •Liver function tests •CBP •Serum bilirubin •Serum alkaline phosphatase level •AEC •Indirect hemagglutination test •The ELISA test •X-ray chest •X-ray abdomen •USG •CT scan •MRI •Casoni test •Endoscopic retrograde cholangiopancreatography 10.ASSESSMENT /PLAN •Total pericystectomy •Partial affected organ resection •Open Cystectomy •Simple tube drainage •Total hepatectomy with transplantation 11.EDUCATION •Proper cleansing of uncooked food and avoidance when possible

•Dietary regulation of pet dogs (stop the habit of feeding viscera of intermediate hosts, such as sheep, to pet dogs) •Regulate pet dog activity to prevent ingestion of sheep material •Avoidance of unregulated dogs •Treatment of pet dogs in endemic areas for intestinal echinococcosis with praziquantel (5 mg/kg) periodically •Control of the dog population •Regulation of livestock butchering 12.MEDICATION •Albendazole •Mebendazole •Praziquantel 13.FOLLOW-UP