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Hepatomegaly

Apparent
- Low-lying diaphragm
- Reidel's lobe
Infection
- Hepatitis
- Glandular Fever / Infectious mononucleosis
- HIV
- Schistosomiasis
- Abscess
  - amoebic
  - pyogenic
- Malaria
Cysts
- Hydatid
- Polycystic
Metabolic
- fatty infiltration / Alcoholic Liver Disease
- Glycogen Storage Disease
- Haemochromatosis
Haematological
- Myeloproliferative disease
- Lymphoproliferative disease
- Thalassaemia
biliary obstruction
Venous congestion
- hepatic vein occlusion
infiltrates
- sarcoidosis
- amyloidosis

Introduction, exposure
Inspection
- distension in right hypochondrium
- striae
  - Chronic Liver Disease
  - obesity
- scars
  - previous tumours
  - transplant
  - shunts
- ascites
- stoma
  - Ulcerative Colitis / sclerosing cholangitis
  - tumours
Palpate
- RIF and up
- liver edge
  - smooth
    - normal
    - Hepatitis
    - Heart Failure
  - nodular
    - metastases / tumour
    - Cirrhosis
- consistency
  - hard if metastasis
- pulsatile
  - Tricuspid regurgitation
- Tender
  - Hepatitis
  - Heart Failure
  - Hepatocellular Carcinoma
  - AV malformation
Percussion
- Upper / lower borders in midclavicular line
- normal height ~ 12 cm
Auscultation
- bruits
  - Hepatocellular Carcinoma
- Tricuspid regurgitation
- Arteriovenous malformation
Rest of abdominal examination

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