Amoebic liver abscess physical examination: Difference between revisions
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Reduced breath sounds or crepitations at right lung base may be heard | Reduced breath sounds or crepitations at right lung base may be heard | ||
'''Heart''' | |||
*Chest tenderness on palpation | |||
*Audible pericardial friction rub (sign associated with high mortality) | |||
*S1 and S2 are normal | |||
'''Abdomen''' | |||
*Hepatomegaly with point tenderness over the liver, in the intercostal spaces, or below the ribs is a typical finding.<ref name="pmid875719">{{cite journal| author=Adams EB, MacLeod IN| title=Invasive amebiasis. II. Amebic liver abscess and its complications. | journal=Medicine (Baltimore) | year= 1977 | volume= 56 | issue= 4 | pages= 325-34 | pmid=875719 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=875719 }} </ref><ref name="pmid6806561">{{cite journal| author=Katzenstein D, Rickerson V, Braude A| title=New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego. | journal=Medicine (Baltimore) | year= 1982 | volume= 61 | issue= 4 | pages= 237-46 | pmid=6806561 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6806561 }} </ref> | |||
*Abdominal guarding or rebound tenderness | |||
*Abdominal distension in advanced cases | |||
*Bowel sounds are absent | |||
*Epigastric mass if left lobe is involved | |||
'''Extremities''' | |||
Bilateral pedal edema in advanced liver disease | |||
''' | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:29, 8 February 2017
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Amoebic liver abscess Microchapters |
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Amoebic liver abscess physical examination On the Web |
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American Roentgen Ray Society Images of Amoebic liver abscess physical examination |
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Risk calculators and risk factors for Amoebic liver abscess physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Physical Examination
Appearance of patient
Patients with amoebic liver abscess are sweating and ill appearing. Appears thin due to weight loss in later stages of disease.
Vital signs
- High grade fever with chills
- Tachycardia
Skin
Yellowish discoloration of skin (jaundice)
HEENT
Icteric sclera
Lungs
Reduced breath sounds or crepitations at right lung base may be heard
Heart
- Chest tenderness on palpation
- Audible pericardial friction rub (sign associated with high mortality)
- S1 and S2 are normal
Abdomen
- Hepatomegaly with point tenderness over the liver, in the intercostal spaces, or below the ribs is a typical finding.[1][2]
- Abdominal guarding or rebound tenderness
- Abdominal distension in advanced cases
- Bowel sounds are absent
- Epigastric mass if left lobe is involved
Extremities Bilateral pedal edema in advanced liver disease
References
- ↑ Adams EB, MacLeod IN (1977). "Invasive amebiasis. II. Amebic liver abscess and its complications". Medicine (Baltimore). 56 (4): 325–34. PMID 875719.
- ↑ Katzenstein D, Rickerson V, Braude A (1982). "New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego". Medicine (Baltimore). 61 (4): 237–46. PMID 6806561.