Abdo.txt

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Author:
laureng
ID:
277067
Filename:
Abdo.txt
Updated:
2014-06-17 18:01:39
Tags:
spleenomegaly hepatomegaly ascites
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Description:
Abdo SC
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  1. Spleen vs. Kidney
    • Spleen:
    • No palpable upper border
    • Notch
    • Inferomedial movement on inspiration
    • No resonance
    • Not ballottable
    • +/- Rub
  2. Massive hepatomegaly
    • Metastases
    • Alcoholic liver disease
    • Myeloproliferative disease
    • RHF
    • HCC
  3. Moderate hepatomegaly
    • Haemochromatosis
    • CML, lymphoma
    • Fatty liver
  4. Mild hepatomegaly
    • Hepatitis - Viral/drugs
    • Cirrhosis
    • Biliary obstruction
    • Granulomatous disorders
    • HIV
    • Ischaemia
  5. Firm and nodular liver
    • Cirrhosis
    • Metastases
  6. Tender hepatomegaly
    • Hepatitis
    • Rapid liver enlargement - RHF or Budd-Chiari
    • HCC
  7. Pulsatile liver
    • TR
    • HCC
    • Vascular abnormalities
  8. Causes of renal masses - B/L
    • PKD
    • Hydronephrosis
    • RCC
    • Amyloid/Lymphoma/Infiltrative diseases
    • Acromegaly
  9. Causes of renal masses - U/L
    • RCC
    • Hydronephrosis
    • PKD
    • Acute renal vein thrombosis
    • Solitary kidney
  10. If you suspect PKD, check?
    • BP
    • CN 3 - palsy
    • Liver for cysts
    • Evidence of anaemia
    • AVF/ TC for Dx
    • Urine for haematuria
  11. Causes of massive splenomegaly
    • CML
    • Muesli fibrosis
    • Malaria
    • Visceral leishmaniasis
    • Primary lymphoma of the spleen
  12. Causes of moderate splenomegaly
    • Portal HTN
    • Lymphoma/Leukaemia
    • Thalassaemia
    • Storage diseases (Gaucher's)
  13. Causes of hepatosplenomegaly
    • CLD with portal HTN
    • Myeloproliferative disease
    • Lymphoma/Leukaemia
    • Infection - acute viral hepatitis, glandular fever, CMV
    • Acromegaly
    • Thyrotoxicosis
  14. If you suspect EtOH as cause of CLD, check:
    • Peripheral neuropathy
    • Proximal myopathy
    • Cerebellar signs
    • Encephalopathy - B/L CN6 palsies
  15. If you suspect haemochromatosis, check:
    • Pigmentation
    • Arthropathy - MCPs esp
    • Testicular atrophy
    • Dilated CM
    • BSL (DM)
  16. Felty's syndrome
    • RA
    • Splenomegaly

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