Hepatic As

HEPATIC CYSTADENOMAS 1. CHIEF COMPLAINT •Hepatic cystadenomas 2. HPI 3. ROS 4. SYMPTOMS •Pain •Nausea •Vomiting •Cholangitis •Sepsis •Obstructive jaundice •Ascites •Intracystic hemorrhage 5. HISTORY •FAMILY HISTORY •SOCIAL HISTORY •PAST MEDICAL HISTORY •SOCIAL HISTORY •CHRONIC CONDITIONS 6. ALLERGIES 7. PHYSICAL EXAMINATION •Reveal a palpable and tender mass in the right upper

quadrant or epigastrium •Hepatomegaly •Lower-extremity edema •Splenomegaly •Ascites •Jaundice 8. SPECIFIC DATA LIKE GRADING ETC 9. TESTS TO BE ORDERED •Alkaline phosphatase •Bilirubin •Aminotransferase level •Carbohydrate antigen (CA) 19-9 levels

•Carcinoembryonic antigen (CEA) •Alpha-fetoprotein levels •USG •CT scan •MRI •Endoscopic retrograde cholangiopancreatography (ERCP) •Magnetic resonance cholangiopancreatography (MRCP) •Fine-needle aspiration biopsy 10.ASSESSMENT /PLAN Surgical Care •surgical resection •complete lobectomy •Liver transplantation 11.EDUCATION 12.MEDICATION 13.FOLLOW-UP