Hepatitis B physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 15: | Line 15: | ||
*Gynecomastia | *Gynecomastia | ||
===HEENT=== | |||
*Icterus | |||
===Abdomen=== | ===Abdomen=== | ||
*Hepatomegaly | *Hepatomegaly | ||
| Line 26: | Line 28: | ||
*Dupuytren's contracture | *Dupuytren's contracture | ||
==Neurologic== | ===Neurologic=== | ||
*Asterixis | *Asterixis | ||
*Neurologic manifestations in cases of HBV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities, | *Neurologic manifestations in cases of HBV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities, | ||
===Extrahepatic Manifestations=== | ===Extrahepatic Manifestations=== | ||
*Arthritis-dermatitis syndrome:<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> | *Arthritis-dermatitis syndrome:<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> | ||
** | **Urticaria | ||
** | **Petechiae, | ||
** | **Palpable purpura | ||
** | **Arthralgia | ||
** | **Arthritis of small joints | ||
*Neuropathy | *Neuropathy | ||
** | **Mononeuritis | ||
** | **Peripheral neuropathy | ||
Revision as of 15:21, 1 August 2014
|
Hepatitis B |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Hepatitis B physical examination On the Web |
|
American Roentgen Ray Society Images of Hepatitis B physical examination |
|
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
HEENT
- Icterus
Abdomen
- Hepatomegaly
- Shrunken liver
- Splenomegaly
- Ascites
- Caput medusae
Extremities
- Peripheral edema
- Dupuytren's contracture
Neurologic
- Asterixis
- Neurologic manifestations in cases of HBV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities,
Extrahepatic Manifestations
- Arthritis-dermatitis syndrome:[1]
- Urticaria
- Petechiae,
- Palpable purpura
- Arthralgia
- Arthritis of small joints
- 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