Hepatomegaly (HMG)

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  • Defining characteristics:
    Caudal displacement of the gastric axis, an extension of the liver beyond the costal arch, rounding of lobar margins

  • Common differential diagnoses:
    False positives (young animals, deformed costal arches, caudal displacement of the diaphragm, deep inspiration, obese animal with oblong abdomens), hepatitis, hepatic lipidosis, hepatotoxicity, venous congestion, diabetes mellitus, Cushing's, hepatic neoplasia

  • Helpful additional data:
    Is there icterus? Is there vomiting? If this is a cat, is it eating? Is the patient PU/PD or a diabetic?

  • Commonly associated diagnostics:
    Consider *SignalCare MDB, consider abdominal ultrasound if available

  • Commonly associated treatments:
    Based on *SignalCare MDB and clinical signs discuss IV fluid therapy vs outpatient care

  • Commonly associated home care:
    Based on primary


*SignalCare MDB = CBC/Chemistry/Urinalysis/Thoracic ultrasound/Abdominal ultrasound