Hepatitis A physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hepatitis A}} | {{Hepatitis A}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{JS}} | ||
== Physical Examination == | ==Overview== | ||
Hepatitis A virus infection is commonly associated with [[fever]], [[jaundice]], icteric [[sclera]], [[abdominal tenderness]], and [[hepatomegaly]] on physical examination. Other pertinent findings include [[rash]], [[cervical]] [[lymphadenopathy]], [[abdominal distension]], [[ascites]], and [[altered mental status]]. | |||
==Physical Examination== | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
[[ | The appearance of the patient on presentation depends on his/her age. Younger patients tend to be [[asymptomatic]], while [[symptomatic]] patients tend to be older. [[Symptomatic]] patients may have a range of symptoms that can vary in severity from a mild [[flu]]-like illness to fulminant hepatitis. Patients with fulminant hepatitis are usually [[disoriented]] and very ill-looking. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* | *[[Fever]] is often present, with a temperature up to 40°C | ||
====Pulse==== | |||
=====Rate===== | |||
*[[Tachycardia]] may be present | |||
====Blood Pressure==== | |||
*[[Hypotension]] may be present | |||
====Respiratory Rate==== | |||
*[[Tachypnea]] may be present | |||
===Skin=== | ===Skin=== | ||
*Jaundice | *[[Jaundice]] is often present | ||
*[[Rash]] may be present | |||
*[[Petechiae ]] may be present | |||
===Eyes=== | ===Eyes=== | ||
* | *Icteric [[sclera]] is often present | ||
===Neck=== | |||
* [[Cervical]] [[lymphadenopathy]] may be present | |||
===Abdomen=== | ===Abdomen=== | ||
*[[Hepatomegaly]] with right upper quadrant tenderness | *[[Abdominal distention]] may be present | ||
*[[Splenomegaly]] | *[[Abdominal tenderness]] is often present | ||
*[[Ascites]] | *[[Hepatomegaly]] with [[right upper quadrant]] tenderness is often present | ||
*[[Splenomegaly]] may be present | |||
*[[Ascites]] may be present in severe stages of disease | |||
===Neurologic=== | ===Neurologic=== | ||
*[[Encephalopathy]] | * [[Altered mental status]] may be present | ||
*[[Encephalopathy]] may be present | |||
==Gallery== | |||
<gallery> | |||
Image:HepatitisA1.png| The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin.<SMALL> <SMALL>''[http://phil.cdc.gov/phil/ Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.]''<ref name="PHIL">{{Cite web | title = Public Health Image Library (PHIL), Centers for Disease Control and Prevention | url = http://phil.cdc.gov/phil/}}</ref></SMALL></SMALL> | |||
</gallery> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Foodborne illnesses]] | [[Category:Foodborne illnesses]] | ||
[[Category: | [[Category:Hepatitis|A]] | ||
[[Category:Picornaviruses]] | [[Category:Picornaviruses]] | ||
[[Category:Viral diseases]] | [[Category:Viral diseases]] | ||
[[Category:Mature chapter]] | [[Category:Mature chapter]] | ||
[[Category:Disease]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Hepatology]] | ||
[[Category:Gastroenterology]] | |||
Latest revision as of 22:04, 29 July 2020
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Hepatitis A |
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Diagnosis |
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Treatment |
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Case Studies |
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Hepatitis A physical examination On the Web |
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American Roentgen Ray Society Images of Hepatitis A physical examination |
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Risk calculators and risk factors for Hepatitis A physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Hepatitis A virus infection is commonly associated with fever, jaundice, icteric sclera, abdominal tenderness, and hepatomegaly on physical examination. Other pertinent findings include rash, cervical lymphadenopathy, abdominal distension, ascites, and altered mental status.
Physical Examination
Appearance of the Patient
The appearance of the patient on presentation depends on his/her age. Younger patients tend to be asymptomatic, while symptomatic patients tend to be older. Symptomatic patients may have a range of symptoms that can vary in severity from a mild flu-like illness to fulminant hepatitis. Patients with fulminant hepatitis are usually disoriented and very ill-looking.
Vital Signs
- Fever is often present, with a temperature up to 40°C
Pulse
Rate
- Tachycardia may be present
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
Eyes
- Icteric sclera is often present
Neck
- Cervical lymphadenopathy may be present
Abdomen
- Abdominal distention may be present
- Abdominal tenderness is often present
- Hepatomegaly with right upper quadrant tenderness is often present
- Splenomegaly may be present
- Ascites may be present in severe stages of disease
Neurologic
- Altered mental status may be present
- Encephalopathy may be present
Gallery
-
![The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin. Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.[1]](/images/0/0e/HepatitisA1.png)
The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin. Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.[1]
![The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin. Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.[1]](/index.php/File:HepatitisA1.png)