Portal vein thrombosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with | Patients with portal vein thrombosis usually appear ill. Common physical examination findings of portal vein thrombosis include [[abdominal pain]] or distention, [[splenomegaly]] and signs of [[ascites]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with portal vein thrombosis is usually remarkable for [[abdominal pain]] or distention, [[splenomegaly]] and signs of [[ascites]]. | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
| Line 25: | Line 14: | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Fever | *[[Fever]] | ||
*Bradycardia may be present | *[[Bradycardia]] may be present | ||
===HEENT=== | ===HEENT=== | ||
| Line 38: | Line 24: | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Splenomegaly]] | *[[Splenomegaly]] | ||
*[[Hepatomegaly]] | |||
*Right upper quadrant epigastric [[tenderness]] | |||
*Signs of [[ascites]] ([[Fluid wave test|fluid wave]]) | *Signs of [[ascites]] ([[Fluid wave test|fluid wave]]) | ||
*[[Guarding]] is rare, seen in case of intra-abdominal inflammation, [[intestinal infarction]], and [[perforation]] | *[[Guarding]] is rare, seen in case of intra-abdominal inflammation, [[intestinal infarction]], and [[perforation]] | ||
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===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to persons, place, and time | *Patient is usually oriented to persons, place, and time | ||
* Glasgow coma scale is 15/15 | * [[Glasgow coma scale]] is 15/15 | ||
=== | ===Skin=== | ||
*[[Jaundice]] | |||
*[[Palmar erythema]] | *[[Palmar erythema]] | ||
*[[Spider angiomata]] | |||
*[[Caput medusae]] | |||
==References== | ==References== | ||
Latest revision as of 14:35, 29 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Patients with portal vein thrombosis usually appear ill. Common physical examination findings of portal vein thrombosis include abdominal pain or distention, splenomegaly and signs of ascites.
Physical Examination
Physical examination of patients with portal vein thrombosis is usually remarkable for abdominal pain or distention, splenomegaly and signs of ascites.
Appearance of the Patient
Vital Signs
- Fever
- Bradycardia may be present
HEENT
- Icteric sclera
Abdomen
- Abdominal pain
- Abdominal distention
- Splenomegaly
- Hepatomegaly
- Right upper quadrant epigastric tenderness
- Signs of ascites (fluid wave)
- Guarding is rare, seen in case of intra-abdominal inflammation, intestinal infarction, and perforation
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Glasgow coma scale is 15/15
Skin
References
- ↑ Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A (2010). "Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment". World J. Gastroenterol. 16 (2): 143–55. PMC 2806552. PMID 20066733.
- ↑ Parikh, Sameer; Shah, Riddhi; Kapoor, Prashant (2010). "Portal Vein Thrombosis". The American Journal of Medicine. 123 (2): 111–119. doi:10.1016/j.amjmed.2009.05.023. ISSN 0002-9343.
- ↑ DeLeve LD, Valla DC, Garcia-Tsao G (2009). "Vascular disorders of the liver". Hepatology. 49 (5): 1729–64. doi:10.1002/hep.22772. PMID 19399912.
- ↑ Primignani M (2010). "Portal vein thrombosis, revisited". Dig Liver Dis. 42 (3): 163–70. doi:10.1016/j.dld.2009.08.003. PMID 19766546.