Causes of Hepatomegaly
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Massive = "CRAM"

  • Cancer – primary and secondary
  • Right heart failure
  • Alcoholic liver disease with fatty infiltration
  • Myeloproliferative diseases (ie Chronic myeloid laekaemia, PRubraVera,Essential Throbocythaemia)
Moderate = "FAILL" 
all of the above plus
Mild ABI
all of the above plus 
Biliary duct obstruction

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Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) currently works as a GP Registrar and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

This Post Has 2 Comments

  1. Andy


  2. Manal faisal

    Thanks for great information

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