Portal hypertension history and symptoms: Difference between revisions
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{{Portal hypertension}} | {{Portal hypertension}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{EG}} | ||
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==Overview== | ==Overview== | ||
The majority of patients with portal hypertension are asymptomatic. Patients with portal hypertension may have a positive history of [[Intravenous drug use|intravenous drug use (IVDU)]], [[Tattoo|tattooing]] or piercing in unhygienic condition, [[needlestick injury]], [[blood transfusion]] before 1992, [[viral hepatitis]], and [[Unprotected sex|unprotected sexual intercourse]]. All of the clinical [[symptoms]] are associated with complications of the portal hypertension. Common [[symptoms]] of portal hypertension include [[hematemesis]], [[melena]], [[abdominal distention]] ([[ascites]]), [[fatigue]], and [[loss of appetite]]. | |||
==History and Symptoms== | ==History and Symptoms== | ||
* The majority of patients with portal hypertension are asymptomatic. | |||
* All of the clinical [[symptoms]] are associated with complications of the portal hypertension. | |||
===History=== | |||
Patients with portal hypertension may have a positive history of:<ref name="pmid21877109">{{cite journal |vauthors=Flores YN, Lang CM, Salmerón J, Bastani R |title=Risk factors for liver disease and associated knowledge and practices among Mexican adults in the US and Mexico |journal=J Community Health |volume=37 |issue=2 |pages=403–11 |year=2012 |pmid=21877109 |doi=10.1007/s10900-011-9457-4 |url=}}</ref> | |||
*[[Intravenous drug use|Intravenous drug use (IVDU)]] | |||
*[[Tattoo|Tattooing]] or piercing in unhygienic condition | |||
*[[Needlestick injury]] | |||
*[[Blood transfusion]] before 1992 | |||
*[[Viral hepatitis]] | |||
*[[Unprotected sex|Unprotected sexual intercourse]] | |||
*[[Schistosomiasis]] in childhood | |||
*Family history of [[hereditary]] [[liver disease]] (e. g., [[hemochromatosis]], [[Wilson disease]]) | |||
===Common Symptoms=== | |||
Common symptoms of portal hypertension include:<ref name="pmid25230084" /> | |||
*[[Hematemesis]] | |||
*[[Melena]] | |||
*[[Abdominal distension|Abdominal distention]] ([[ascites]]) | |||
*[[Fatigue]] | |||
*[[Loss of appetite]] | |||
===Less Common Symptoms=== | |||
Less common symptoms of portal hypertension include:<ref name="pmid25230084">{{cite journal |vauthors=Bloom S, Kemp W, Lubel J |title=Portal hypertension: pathophysiology, diagnosis and management |journal=Intern Med J |volume=45 |issue=1 |pages=16–26 |year=2015 |pmid=25230084 |doi=10.1111/imj.12590 |url=}}</ref> | |||
*[[Abdominal pain]] | |||
*[[Confusion]] | |||
*[[Forgetfulness]] | |||
*[[Drowsiness]] | |||
*[[Slurred speech]] | |||
* [[Bleeding easily]] | |||
* Easy [[bruising]] | |||
* [[Itchy skin]] | |||
* [[Jaundice]] | |||
* [[Nausea]] | |||
* [[Peripheral edema]] | |||
* [[Weight loss]] | |||
* [[Palms of the hands|Palms]] [[Erythema|Redness]] | |||
* [[Testicular atrophy]] in men | |||
* [[Breast enlargement]] in men | |||
* [[Hematochezia]] | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Up-To-Date]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Latest revision as of 19:00, 7 December 2017
Portal Hypertension Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
The majority of patients with portal hypertension are asymptomatic. Patients with portal hypertension may have a positive history of intravenous drug use (IVDU), tattooing or piercing in unhygienic condition, needlestick injury, blood transfusion before 1992, viral hepatitis, and unprotected sexual intercourse. All of the clinical symptoms are associated with complications of the portal hypertension. Common symptoms of portal hypertension include hematemesis, melena, abdominal distention (ascites), fatigue, and loss of appetite.
History and Symptoms
- The majority of patients with portal hypertension are asymptomatic.
- All of the clinical symptoms are associated with complications of the portal hypertension.
History
Patients with portal hypertension may have a positive history of:[1]
- Intravenous drug use (IVDU)
- Tattooing or piercing in unhygienic condition
- Needlestick injury
- Blood transfusion before 1992
- Viral hepatitis
- Unprotected sexual intercourse
- Schistosomiasis in childhood
- Family history of hereditary liver disease (e. g., hemochromatosis, Wilson disease)
Common Symptoms
Common symptoms of portal hypertension include:[2]
Less Common Symptoms
Less common symptoms of portal hypertension include:[2]
- Abdominal pain
- Confusion
- Forgetfulness
- Drowsiness
- Slurred speech
- Bleeding easily
- Easy bruising
- Itchy skin
- Jaundice
- Nausea
- Peripheral edema
- Weight loss
- Palms Redness
- Testicular atrophy in men
- Breast enlargement in men
- Hematochezia
References
- ↑ Flores YN, Lang CM, Salmerón J, Bastani R (2012). "Risk factors for liver disease and associated knowledge and practices among Mexican adults in the US and Mexico". J Community Health. 37 (2): 403–11. doi:10.1007/s10900-011-9457-4. PMID 21877109.
- ↑ 2.0 2.1 Bloom S, Kemp W, Lubel J (2015). "Portal hypertension: pathophysiology, diagnosis and management". Intern Med J. 45 (1): 16–26. doi:10.1111/imj.12590. PMID 25230084.