Hepatomegaly

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

Neoplastic

Metabolic

Biliary

  • Biliary cirrhosis

Drugs

Miscellaneous

  • Veno-occlusive disease
  • CHF (right heart failure)

Evaluation

  • Evaluate for etiology; depending on presentation, workup may include:

Management

Disposition

  • Dependant on presentation; consider GI follow up if discharging and hepatomegaly not previously noted

See Also=

External Links

References

  1. Tintanelli's