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.<ref name="pmid19399815">{{cite journal| author=Rotman Y, Brown TA, Hoofnagle JH| title=Evaluation of the patient with hepatitis B. | journal=Hepatology | year= 2009 | volume= 49 | issue= 5 Suppl | pages= S22-7 | pmid=19399815 | doi=10.1002/hep.22976 | pmc=PMC2881483 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19399815 }} </ref> | ||
==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:<ref name="pmid19399815">{{cite journal| author=Rotman Y, Brown TA, Hoofnagle JH| title=Evaluation of the patient with hepatitis B. | journal=Hepatology | year= 2009 | volume= 49 | issue= 5 Suppl | pages= S22-7 | pmid=19399815 | doi=10.1002/hep.22976 | pmc=PMC2881483 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19399815 }} </ref> | ||
===Skin=== | ===Skin=== | ||
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*Neuropathy | *Neuropathy | ||
Revision as of 15:59, 1 August 2014
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Hepatitis B |
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Hepatitis B physical examination On the Web |
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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.[1]
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:[1]
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:[2]
- 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.[3]
- ↑ 1.0 1.1 Rotman Y, Brown TA, Hoofnagle JH (2009). "Evaluation of the patient with hepatitis B." Hepatology. 49 (5 Suppl): S22–7. doi:10.1002/hep.22976. PMC 2881483. PMID 19399815.
- ↑ 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