Diferencia entre revisiones de «Hepatomegaly»
Sin resumen de edición |
Sin resumen de edición |
||
| Línea 56: | Línea 56: | ||
*Dependant on presentation; consider GI follow up if discharging and hepatomegaly not previously noted | *Dependant on presentation; consider GI follow up if discharging and hepatomegaly not previously noted | ||
=See Also== | ==See Also== | ||
==External Links== | ==External Links== | ||
| Línea 64: | Línea 64: | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Symptoms]] | |||
Revisión del 21:12 29 sep 2019
Background
- Big liver
- Caused by infection, tumours, metabolic disorders, drugs
Clinical Features
- Palpable (or radiologically appreciated) enlarged liver
- +/- stigmata of hepatic dysfunction
- +/- signs of causative pathology
Differential Diagnosis
Infectious
- Hepatitis
- Malaria
- HIV (present in 50% of AIDS patients)[1]
- EBV
- Babesiosis, leptospirosis
- Typhoid
- Hepatic abscess, amebiasis
Neoplastic
Metabolic
Biliary
- Biliary cirrhosis
Drugs
- Alcoholic cirrhosis
- Alcoholic hepatitis
- Hepatotoxic drugs
Miscellaneous
- Veno-occlusive disease
- CHF (right heart failure)
Evaluation
- Evaluate for etiology; depending on presentation, workup may include:
- LFTs, coags
- CBC, BMP
- RUQ US
- Acute hepatitis serologies, other infectious workup as indicated
- Acetaminophen levels, tox panel
- CHF workup if suspect right heart failure
- GI consult
Management
- Treat underlying condition
- Treat hepatic dysfunction, if present
Disposition
- Dependant on presentation; consider GI follow up if discharging and hepatomegaly not previously noted
See Also
External Links
References
- ↑ Tintanelli's