I have a 73 year old female patient with 8 months history of upper abdominal pain and anorexia. On examination I got 10 cm hepatomegaly, firm, nontender. No lymphadenopathy, no jaundice in general examionation except oral ulcer. What should I think about for diagnosis and differential diagnosis? Thanks.
Hi. Thanks for your query for a 73-year-old female patient with 10 cm Hepatomegaly without jaundice and lymphadenopathy. Oral ulcers is the only other finding. I would advise you to get MRCP / CT scan of the abdomen to see their there is a hydrated cyst or so Once confirmed, you need to undergo the blood, urine and stool tests and plan for the further management.