//fpnotebook.com/
Hepatomegaly in Newborns
Aka: Hepatomegaly in Newborns, Splenomegaly in Newborns, Neonatal Hepatomegaly, Liver Mass in Infants, Congenital Liver Mass
- Evaluation: Hepatomegaly with Direct Hyperbilirubinemia
- Splenomegaly
- TORCH Virus Infection
- Bacterial Infection (e.g. Spirochetes) or Sepsis
- Disordered Carbohydrate Metabolism
- Galactosemia
- Hereditary Fructose Intolerance
- No Splenomegaly
- Causes found on right upper quadrant Ultrasound
- Hepatoma or Hemangioma and other tumor
- Choledochal cyst
- Causes found on biliary scan
- Biliary atresia
- Causes found on liver biopsy
- Neonatal hepatitis
- Toxin exposure
- Parenteral nutrition
- Evaluation: Hepatomegaly with Indirect Hyperbilirubinemia
- Causes
- Congestive Heart Failure
- Toxin Exposure
- Hemolytic Anemia
- Hereditary Spherocytosis
- Thalassemia
- Studies
- Right Upper Quadrant Ultrasound
- Evaluation: Hepatomegaly without Hyperbilirubinemia
- Studies
- Abdominal Ultrasound
- Causes with Splenomegaly
- Vascular obstruction
- Liver tumor (e.g. Hepatoblastoma)
- Metabolic disease
- Causes without Splenomegaly
- Tumor
- Mother with Gestational Diabetes
- Malnutrition
- References
- Cloherty (1991) Neonatal Care, p. 449
- Wolf (2000) Pediatr Rev 21(9):303-10 [PubMed]