Summary
Summary An Approach to Hepatomegaly
- Course
- Medicine
- Institution
- University Of Cape Town (UCT)
These documents cover my study notes for Internal Medicine on the approach to Hepatomegaly, Splenomegaly, and Hepatosplenomegaly.
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An approach to Hepatomegaly:VITAMIN C
Vascular
Inflammatory (Infectious and non-Infectious)
Trauma/ Toxins
Autoimmune
Metabolic
Idiopathic
Neoplastic
Causes of Hepatomegaly:
Vascular - Right Heart Failure (massive hepatomegaly)
- Tricuspid Regurgitation (pulsatile liver)
Infective: - Hepatitis
(usually causes a mild, - HIV
tender hepatomegaly) - Malaria
- Infective Mononucleosis (EBV)
- CMV
Toxins:
- Alcoholic Liver Disease with fatty infiltrates (causes massive
Alcohol hepatomegaly)
- Alcoholic cirrhosis (initially usually causes a firm and irregular
hepatomegaly)
Autoimmune:
Metabolic:
Idiopathic:
Neoplasms: - Hepatocellular Ca
(usually causes massive - Metastases (most common)
hepatomegaly)
- Leukemia
- Lymphoma
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