Amoebic liver abscess physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings associated with amoebic liver abscess may include: | |||
'''Appearance of patient''' | '''Appearance of patient''' | ||
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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
Common physical examination findings associated with amoebic liver abscess may include:
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]
- Epigastric mass if left lobe is involved
- Abdominal guarding or rebound tenderness
- Abdominal distension in advanced cases
- Bowel sounds are absent
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.