Liver/Jaundice

HCC:
·       Cirrhosis / Hep C+B
·       Vague RUQ pain + weight loss + a-fetoprotein
·       Tx: resection is possible
Mets to liver:
·       Suspect if multiple
·       ⤴️ CEA in colon cancer
·       Dx: CT
·       Tx: resection if possible
Hep Adenoma:
·       OCPs
·       Tendency to rupture (presents w/ hypotension)
·       Dx: US → CT
·       Tx: stop OCPs + Surgery
Abscess:
·       Pain + fever
·       Happen w/ biliary tree pathologies (ascending cholangitis)
·       Dx: US or CT
·       Tx: Drainage
o   If u suspect Ameoba (mexico, Clx suspected) –> Metronidazole (cont if clx imrovement)
o   –(didn’t improve)–> drainage.
 
Jaundice:
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