Hepatomegaly

Question 1

Causes

Answer 1

1. Malignancy
2. Cirrhosis
3. Hepatic congestion
4. Alcoholic hepatitis
5. Infectious disease
6. Infiltration - Amyloidosis, sarcoidosis
7. Vascular liver disease

Question 2

Tumours which commonly metastasise to the liver

Answer 2

Colorectal cancer, oesophageal, lung, breast, gastric

Question 3

Tender hepatomegaly differentials

Answer 3

1. Infectious disease (viral hepatitis)
2. Alcoholic hepatitis
3. Malignancy
4. Hepatic congestion
5. Vascular liver disease

Question 4

Budd-Chiari

Answer 4

Obstruction of the hepatic venous flow - usually due to thrombosis
Presentation - jaundice and hepatic encephalopathy, abdominal pain and hepatomegaly

Question 5

Jaundice causes

Answer 5

1. Pre hepatic - haemolysis
2. Hepatic - Causes of CLD, PBC
3. Post hepatic - Gallstones
   Pancreatic CA