Counters Case Vignette Presentation pptx

Hepa8c  Hemangiomas:  Diagnosis  

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Usually  an  incidental  finding  

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SomeHmes  may  have  abdominal  pain,  RUQ  

discomfort/fullness  

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Imaging    

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Ultrasound  

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CT  

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MRI  

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Gundersen  Lutheran  Medical  Center,  Inc.  |  Gundersen  Clinic,  Ltd.  

Hepa8c  Hemangiomas:  Management  

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Usually  simple  observaHon  

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If  giant  hemangiomas  radiologic  follow-­‐up  

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ProphylacHc  resecHon  not  advised  due  to  

bleeding  risk  

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Surgical/intervenHonal  management  only  if  

complicaHons  

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Gundersen  Lutheran  Medical  Center,  Inc.  |  Gundersen  Clinic,  Ltd.  

Follow-­‐up  post  emboliza8on  

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Gundersen  Lutheran  Medical  Center,  Inc.  |  Gundersen  Clinic,  Ltd.  

 

 

Na:  123  

 

 

 

 

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Gundersen  Lutheran  Medical  Center,  Inc.  |  Gundersen  Clinic,  Ltd.  

Laboratory  

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Chemistry  

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Lytes:  Na  120,  K  4.0,  Cl  83,  CO2  30  

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Serum  Osmol  265  

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Renal  FuncHon:  BUN  18,  Cr  0.85  

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Liver:  Bili  2.8,  AST  59,  ALT  39,  Alk  Phos  281  

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Coag:  INR  1.4  

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Gundersen  Lutheran  Medical  Center,  Inc.  |  Gundersen  Clinic,  Ltd.