Autoimmune hepatitis physical examination: Difference between revisions
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{{Autoimmune hepatitis}} | {{Autoimmune hepatitis}} | ||
{{CMG}}; {{AE}}:{{MKK}} | {{CMG}}; {{AE}}:{{MKK}} | ||
==Overview== | ==Overview== | ||
Patients with autoimmune hepatitis usually appear normal. Physical examination of patients | 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.]] | ||
spider angiomata. | |||
==Physical Examination== | ==Physical Examination== | ||
| Line 11: | Line 9: | ||
*[[Jaundice]] | *[[Jaundice]] | ||
*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
*Spider angiomata | *[[Spider angiomata]] | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *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 | *Yellowish discoloration of the skin. | ||
*Abdominal distension may also be present due to ascites | *[[Abdominal distension]] may also be present due to [[ascites|ascites.]] | ||
*Normal/low blood pressure with normal pulse pressure | *Normal/low blood pressure with normal pulse pressure. | ||
===Skin=== | ===Skin=== | ||
*[[Jaundice]] | *[[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> | *[[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"> | ||
| Line 29: | Line 23: | ||
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> | 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> | </gallery> | ||
===HEENT=== | ===HEENT=== | ||
*[[Hirsutism]] | *[[Hirsutism]] | ||
*[[Icteric sclera]] | *[[Icteric sclera]] | ||
*[[Acne]] | *[[Acne]] | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]](Ascites) | *[[Abdominal distention]](Ascites) | ||
| Line 41: | Line 32: | ||
*[[splenomegaly]] | *[[splenomegaly]] | ||
*[[Caput medusae]] | *[[Caput medusae]] | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Hepatic encephalopathy patient presents with: | *[[Hepatic encephalopathy]] patient presents with: | ||
**Confusion | **Altered mental status | ||
**Coma | **[[Confusion]] | ||
**[[Coma]] | |||
==References== | ==References== | ||
Latest revision as of 17:26, 9 January 2018
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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]](/index.php/File:Spider_nevus.jpg)
![Sclerotic jaundice in a female [4]](/index.php/File:Cholangitis_Jaundice.jpg)
HEENT
Abdomen
Neuromuscular
- Hepatic encephalopathy patient presents with:
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
