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Hepatomegaly

Overview

    • Feel For

    • The size of the liver, by estimating the location of the upper and lower liver edges.
    • How to Elicit

    • Percussion of upper liver edge - Percuss down the midclavicular line from the level of the third rib, with the struck finger held horizontal to the ribs. Once the top edge of the liver is percussed the percussion note will become dull.
    • Interpretation

    • Normal female liver - 8-10cm
    • Normal male liver - 10-12cm
    • Hepatomegaly - >15cm
    • Causes of Hepatomegaly

    • Congestion - congestive cardiac failure, hepatic vein thrombosis, cirrhosis
    • Hepatitis - alcoholic liver disease, non-alcoholic steatohepatosis, hepatitis, drug-induced
    • Metabolic liver disease - amyloidosis, haemochromatosis, Wilson’s disease
    • Cancers - liver, stomach, pancreas, lung, colorectal, melanoma
    • Infection
    • Haematological - leukaemia / Hodgkin lymphoma
    • Diaphragmatic depression - emphysema, pleural effusion
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Associated Diseases
BETA

Gastrointestinal
Haematology
Nutrition & Metabolic
Other
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