Hepatic Hemangiomas
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HEPATIC HEMANGIOMAS 1. CHIEF COMPLAINT •Hepatic hemangiomas 2. HPI 3. ROS 4. SYMPTOMS •Jaundice •Lower leg edema •Pain 5. HISTORY •FAMILY HISTORY •SOCIAL HISTORY •PAST MEDICAL HISTORY •SURGICAL HISTORY •CHRONIC CONDITIONS 6. ALLERGIES 7. PHYSICAL EXAMINATION •Enlarged liver •Presence of an arterial bruit over the right upper quadrant 8. SPECIFIC DATA LIKE GRADING ETC 9. TESTS TO BE ORDERED •CBP •Alpha-fetoprotein •Carcinogenic embryonic antigen (CEA) levels •USG •CT scan •Nuclear medicine studies using technetium (Tc) 99mlabeled RBCs, •MRI •Hepatic arteriography •Digital subtraction angiography (DSA) •Arteriography
10.ASSESSMENT /PLAN Surgical Care •Surgical resection of the hemangioma •Orthotopic liver transplantation 11.EDUCATION 12.MEDICATION 13.FOLLOW-UP
10.ASSESSMENT /PLAN Surgical Care •Surgical resection of the hemangioma •Orthotopic liver transplantation 11.EDUCATION 12.MEDICATION 13.FOLLOW-UP
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