Hepatitis B physical examination: Difference between revisions
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===Skin=== | ===Skin=== | ||
Jaundice | *Jaundice | ||
Palmar erythema | *Palmar erythema | ||
Spider angiomata | *Spider angiomata | ||
Gynecomastia | *Gynecomastia | ||
===Abdomen=== | ===Abdomen=== | ||
Hepatomegaly | *Hepatomegaly | ||
Shrunken liver | *Shrunken liver | ||
Splenomegaly | *Splenomegaly | ||
Ascites | *Ascites | ||
Caput medusae | *Caput medusae | ||
==Neurologic== | ==Neurologic== | ||
Asterixis | *Asterixis | ||
Encephalopathy | *Encephalopathy | ||
===Extremities=== | ===Extremities=== | ||
Peripheral edema | *Peripheral edema | ||
Dupuytren's contracture | *Dupuytren's contracture | ||
===Extrahepatic Manifestations=== | |||
===Extrahepatic manifestations=== | *Arthritis-dermatitis syndrome: | ||
**urticaria | |||
**petechiae, | |||
**palpable purpura, | |||
**arthralgia, | |||
**arthritis of small joints<ref name="pmid15481347">{{cite journal| author=Han SH| title=Extrahepatic manifestations of chronic hepatitis B. | journal=Clin Liver Dis | year= 2004 | volume= 8 | issue= 2 | pages= 403-18 | pmid=15481347 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15481347 }} </ref> | |||
*Neuropathy | |||
**mononeuritis, | |||
**peripheral neuropathy | |||
Revision as of 14:48, 1 August 2014
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Hepatitis B |
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Hepatitis B physical examination On the Web |
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American Roentgen Ray Society Images of Hepatitis B physical examination |
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Risk calculators and risk factors for Hepatitis B physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
For the majority of patients with acute and chronic hepatitis B, the physical examination is normal.
Physical Examination
The aim of the initial physical examination is to observe for the presence of signs of chronic liver disease which include the following:
Skin
- Jaundice
- Palmar erythema
- Spider angiomata
- Gynecomastia
Abdomen
- Hepatomegaly
- Shrunken liver
- Splenomegaly
- Ascites
- Caput medusae
Neurologic
- Asterixis
- Encephalopathy
Extremities
- Peripheral edema
- Dupuytren's contracture
Extrahepatic Manifestations
- Arthritis-dermatitis syndrome:
- urticaria
- petechiae,
- palpable purpura,
- arthralgia,
- arthritis of small joints[1]
- Neuropathy
- mononeuritis,
- peripheral neuropathy
Spider angiomata in 47-year-old patient had longstanding jaundice and ascites consequent to biopsy-proven hepatic cirrhosis.[2]
- ↑ Han SH (2004). "Extrahepatic manifestations of chronic hepatitis B." Clin Liver Dis. 8 (2): 403–18. PMID 15481347.
- ↑ Fred, H.; van Dijk, H. Images of Memorable Cases: Case 114, Connexions Web site. http://cnx.org/content/m14900/1.3/, Feb 16, 2012