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Bronchiectasis
COPD
Fibrosing Alveolitis
Pleural Effusion
Valvular Disease
Chronic Liver Disease
Hepatomegaly
Polycystic Kidneys
Renal Transplant
Motor Neuron Disease
Multiple Sclerosis
Parkinson's
Peripheral Neuropathy
Ankylosing Spondylitis
Psoriasis
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Systemc Sclerosis
Acromegaly
Cushing's Disease
Goitre
Thyroid Status
Clubbing
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Hepatomegaly/Splenomegaly

Splenomegaly

Incidental findings Lymphadenopathy
Signs Spleen enlarged at ... cm
Differential diagnosis Splenomegaly, Polycystic kidney; Causes below
Tests FBC - for pancytopaenia
Blood film - for decreased RBC/platelets/neutrophils
USS abdomen
± Bone marrow biopsy

Hepatomegaly

Incidental findings Heart failure, cachexia
Signs Liver is palpable ... cm below costal margin. ?Tender/smooth/firm
Differential diagnosis Hepatomegaly, kidney; Causes below
Function Stigmata chronic liver disease / decompensation
Massive spleen
CML
Myelofibrosis
(Malaria)
(Kala-azar)
Moderate spleen
Myeloproliferative
Lymphoproliferative
Cirrhosis
Liver
Cirrhosis
Metastasis
CCF
Liver + spleen
Myeloproliferative
Lymphoproliferative
Cirrhosis

Notes

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