Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of known Hereditary Hemorrhagic Telangiectasia (HHT) with hepatic involvement. Current symptoms include [asymptomatic / abdominal pain / fatigue / signs of high-output heart failure]. Review of systems negative for gastrointestinal bleeding, jaundice, or encephalopathy. Patient denies recent changes in exercise tolerance or orthopnea.
Clinical Examination Findings
Physical examination reveals [stable / tachycardia / elevated JVP]. Abdominal exam: liver [palpable / non-palpable], presence of [hepatic bruit / hepatomegaly]. Skin exam: presence of mucocutaneous telangiectasias on [lips / tongue / fingertips]. Cardiovascular: [S1/S2 normal / presence of flow murmur]. Extremities: [no edema / peripheral edema].
Treatment Protocol
Management plan: [Observation / Medical therapy with Bevacizumab / Embolization / Liver transplantation evaluation]. Monitor for high-output heart failure and portal hypertension. Continue routine screening for HHT-related vascular malformations. Follow-up imaging scheduled for [date].