summary:before {
content: " ";
margin-left: -20px;
margin-top:40px;
padding-left: 20px;
background-image: url("data:image/svg+xml;charset=UTF-8,%3c?xml version='1.0' encoding='utf-8'?%3e%3csvg version='1.1' id='Layer_1' focusable='false' xmlns='http://www.w3.org/2000/svg' xmlns:xlink='http://www.w3.org/1999/xlink' x='0px' y='0px' viewBox='0 0 20 20' style='enable-background:new 0 0 20 20;' xml:space='preserve'%3e%3cstyle type='text/css'%3e .st0%7bfill:%23A9A9A9;%7d %3c/style%3e%3cpath class='st0' d='M8.5,1.3l1-1c0.4-0.4,1.1-0.4,1.5,0l8.7,8.9c0.4,0.4,0.4,1.1,0,1.6L11,19.7c-0.4,0.4-1.1,0.4-1.5,0l-1-1 c-0.4-0.4-0.4-1.1,0-1.6l5.4-5.3H1.1c-0.6,0-1.1-0.5-1.1-1.1V9.3c0-0.6,0.5-1.1,1.1-1.1h12.8L8.5,2.9C8.1,2.5,8.1,1.8,8.5,1.3z'/%3e%3c/svg%3e ");
background-repeat: no-repeat;
background-position: 0px 3px;
background-size: 83% 83%;
}

summary.cancer::-webkit-details-marker {
display: none;
border: 0px solid transparent;
}

summary.cancer {
border: 0px solid transparent;
color: transparent;
outline: none;
}

summary.cancer:after {
background: url('https://www.albertahealthservices.ca/assets/info/cca/if-cca-chevron-down.png');
float: right;
height: 38px;
width: 38px;
content: " ";
}

details[open]
summary:after {
background: url('https://www.albertahealthservices.ca/assets/info/cca/if-cca-chevron-up.png');
border: 0px solid transparent;}

h4{
    margin-left: 40px;
}