Hepatitis B physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
For the majority of patients with acute and chronic hepatitis B, the physical examination is normal. | For the majority of patients with acute and chronic [[hepatitis B]], the physical examination is normal. | ||
==Physical Examination== | ==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: | The aim of the initial physical examination is to observe for the presence of signs of [[chronic liver disease]] which include the following: | ||
===Skin=== | ===Skin=== | ||
*Jaundice | *[[Jaundice]] | ||
*Palmar erythema | *[[Palmar erythema]] | ||
*Spider angiomata | *[[Spider angiomata]] | ||
*Gynecomastia | *[[Gynecomastia]] | ||
===HEENT=== | ===HEENT=== | ||
*Icterus | *[[Icterus]] | ||
===Abdomen=== | ===Abdomen=== | ||
*Hepatomegaly | *[[Hepatomegaly]] | ||
*Shrunken liver | *[[Shrunken liver]] | ||
*Splenomegaly | *[[Splenomegaly]] | ||
*Ascites | *[[Ascites]] | ||
*Caput medusae | *[[Caput medusae]] | ||
===Extremities=== | ===Extremities=== | ||
*Peripheral edema | *[[Peripheral edema]] | ||
*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 | **[[Urticaria]] | ||
**Petechiae | **[[Petechiae]] | ||
**Palpable purpura | **[[Palpable purpura]] | ||
**Arthralgia | **[[Arthralgia]] | ||
**Arthritis of small joints | **[[Arthritis]] of small joints | ||
*Neuropathy | *Neuropathy | ||
**Mononeuritis | **[[Mononeuritis]] | ||
**Peripheral neuropathy | **[[Peripheral neuropathy]] | ||
Revision as of 15:27, 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
HEENT
Abdomen
Extremities
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
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