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Revision as of 16:57, 21 May 2014 by Ochuko Ajari (talk | contribs)
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Causes of hepatomegaly

Inflammatory Liver Disease

  • Others
  • Alcoholic hepatitis
  • Other toxins induced hepatitis
  • Drug-induced hepatitis
  • Autoimmune hepatitis
  • Steatohepatitis
  • Steatosis
  • Abscess
  • Pyogenic
  • Amebic
  • Suppurative
  • Sclerosing

Chronic Liver Disease

  • Alcoholic
  • Posthepatitic
  • Postnecrotic
  • Cholestatic

Cirrhotic

  • Portal
  • Biliary
  • Cardiac

Metabolic Disorders

Alpha-1 Antitrypsin Deficiency

Other Causes

  • Extrahepatic biliary obstruction
  • Hepatic congestion
  • Veno-occlusive disease
  • Jamaican herbal tea
  • After bone-marrow transplantation
  • Infiltrative disorders, storage diseases
  • Neoplasms
  • Cysts
  • Congenital
    • Solitary
    • Polycystic
  • Acquired (especially echinococcal)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 









Primary treatment option
Atropine
❑ Administer a first dose 0.5 mg IV bolus
❑ Repeat every 3-5 minutes
❑ Administer a maximum dose of 3 mg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Secondary treatment options
If atropine ineffective:
❑ Administer dopamine infusion (2-10 mcg/kg/min)
OR
❑ Administer epinephrine infusion (2-10 mcg/min)
OR
❑ Proceed with transcutaneous pacing
 
 
 
 
 
 
 
 
 
 
 
 
 
 
❑ Consult a cardiologist
❑ Consider transvenous pacing
 
 
 
 
 
 












Overview

Causes

Life Threatening Causes

Common Causes

Diagnosis

Focused Initial Rapid Evaluation

Complete Evaluation

 
 
 
 
 
 
 
 
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Treatment

Do's

Don'ts

References

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