Autoimmune hepatitis physical examination: Difference between revisions

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VisualWikitext

Latest revision as of 17:26, 9 January 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: :Manpreet Kaur, MD [2]

Overview

Patients with autoimmune hepatitis usually appear normal. Physical examination of patients with autoimmune hepatitis are jaundice, hepatomegaly, splenomegaly, hepatic encephalopathy and spider angiomata.

Physical Examination

Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:^[1]

Appearance of the Patient

Patients with autoimmune hepatitis usually appear normal initially. If it progresses then patient appear weak due to constitutional symptoms such as weight loss, anorexia, and muscle atrophy.
Yellowish discoloration of the skin.
Abdominal distension may also be present due to ascites.
Normal/low blood pressure with normal pulse pressure.

Skin

Spider angiomata^[3]
Sclerotic jaundice in a female ^[4]

HEENT

Abdomen

Neuromuscular

Hepatic encephalopathy patient presents with:
- Altered mental status
- Confusion
- Coma

References

↑ Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
↑ Li CP, Lee FY, Hwang SJ; et al. (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.
↑ https://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/
↑ By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793

Template:WH Template:WS

[pmid16394302-1] Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.

[pmid10423070-2] Li CP, Lee FY, Hwang SJ; et al. (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.

[3] ttps://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/

[4] By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793

[1]

[2]

[3]

[4]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Autoimmune hepatitis}}
-{{CMG}}
+{{CMG}}; {{AE}}:{{MKK}}
 ==Overview==
+Patients with autoimmune hepatitis usually appear normal. Physical examination of patients with autoimmune hepatitis are [[jaundice]], [[hepatomegaly]], [[splenomegaly]], [[hepatic encephalopathy]] and [[Spider angiomata|spider angiomata.]]
 ==Physical Examination==
+Physical examination of Autoimmune hepatitis patient  who progresses to cirrhosis:<ref name="pmid16394302">{{cite journal |vauthors=Krawitt EL |title=Autoimmune hepatitis |journal=N. Engl. J. Med. |volume=354 |issue=1 |pages=54–66 |year=2006 |pmid=16394302 |doi=10.1056/NEJMra050408 |url=}}</ref>
+*[[Jaundice]]
+*[[Hepatomegaly]]
+*[[Spider angiomata]]
+===Appearance of the Patient===
+*Patients with autoimmune hepatitis usually appear normal initially. If it progresses then patient appear weak due to constitutional symptoms such as [[weight loss]], [[anorexia]], and [[muscle atrophy]].
+*Yellowish discoloration of the skin.
+*[[Abdominal distension]] may also be present due to [[ascites|ascites.]]
+*Normal/low blood pressure with normal pulse pressure.
+===Skin===
+*[[Jaundice]]
+*[[Spider angioma|Spider angiomata]]<ref name="pmid10423070">{{cite journal |author=Li CP, Lee FY, Hwang SJ, ''et al'' |title=Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function|journal=Scand. J. Gastroenterol. |volume=34 |issue=5 |pages=520-3 |year=1999 |pmid=10423070 |doi=}}</ref>
+<gallery widths="250px">
+<gallery widths="250px">
+File:Spider nevus.jpg|[[spider angiomata]] |Spider angiomata<ref>https://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/</ref>
+File:Cholangitis Jaundice.jpg|thumb|250px|Sclerotic jaundice in a female <ref>By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793</ref>
+</gallery>
+===HEENT===
+*[[Hirsutism]]
+*[[Icteric sclera]]
+*[[Acne]]
+===Abdomen===
+*[[Abdominal distention]](Ascites)
+*[[Hepatomegaly]]
+*[[splenomegaly]]
+*[[Caput medusae]]
+===Neuromuscular===
+*[[Hepatic encephalopathy]] patient presents with:
+**Altered mental status
+**[[Confusion]]
+**[[Coma]]
 ==References==
 {{Reflist|2}}
-[[Category:Needs content]]
+[[Category:Hepatology]]
+[[Category:Gastroenterology]]
 [[Category:Disease]]
-[[Category:Gastroenterology]]
-[[Category:Autoimmune Disease]]
+{{WH}}
-[[Category:Needs overview]]
+{{WS}}