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:<ref name=amoebiasis>https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017</ref><ref name="pmid10459092">{{cite journal| author=Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO| title=Common presentations of amebic liver abscess. | journal=Ann Emerg Med | year= 1999 | volume= 34 | issue= 3 | pages= 351-5 | pmid=10459092 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10459092 }} </ref><ref name="pmid12149132">{{cite journal| author=Wiwanitkit V| title=A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients. | journal=BMC Fam Pract | year= 2002 | volume= 3 | issue= | pages= 13 | pmid=12149132 | doi= | pmc=122079 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12149132 }} </ref> | Common physical examination findings associated with [[amoebic liver abscess]] may include:<ref name=amoebiasis>https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017</ref><ref name="pmid10459092">{{cite journal| author=Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO| title=Common presentations of amebic liver abscess. | journal=Ann Emerg Med | year= 1999 | volume= 34 | issue= 3 | pages= 351-5 | pmid=10459092 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10459092 }} </ref><ref name="pmid12149132">{{cite journal| author=Wiwanitkit V| title=A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients. | journal=BMC Fam Pract | year= 2002 | volume= 3 | issue= | pages= 13 | pmid=12149132 | doi= | pmc=122079 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12149132 }} </ref> | ||
'''Appearance of patient''' | '''Appearance of patient''' | ||
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*High grade fever with chills | *High grade fever with chills | ||
*Tachycardia | *[[Tachycardia]] | ||
'''Skin''' | '''Skin''' | ||
Yellowish discoloration of skin (jaundice) | Yellowish discoloration of skin ([[jaundice]]) | ||
'''HEENT''' | '''HEENT''' | ||
Icteric sclera | [[icterus|Icteric sclera]] | ||
'''Lungs''' | '''Lungs''' | ||
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''' | '''Heart''' | ||
*Chest tenderness on palpation | *[[Chest]] [[tenderness]] on [[palpation]] | ||
*Audible pericardial friction rub (sign associated with high mortality) | *Audible [[pericardial friction rub]] (sign associated with high mortality) | ||
*S1 and S2 are normal | *S1 and S2 are normal | ||
'''Abdomen''' | '''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> | *[[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> | ||
*Epigastric mass if left lobe is involved | *[[Epigastric]] mass if left lobe is involved | ||
*Abdominal guarding or rebound tenderness | *Abdominal [[guarding]] or [[rebound tenderness]] | ||
*Due to dullness on percussion, the | *Due to dullness on [[percussion]], the movement on right side of the chest and abdomen is restricted | ||
*Abdominal distension in advanced cases | *Abdominal distension in advanced cases | ||
*Absent bowel sounds | *Absent bowel sounds | ||
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'''Extremities''' | '''Extremities''' | ||
Bilateral pedal edema in advanced liver disease | Bilateral [[pedal edema]] in advanced liver disease | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 20:00, 14 February 2017
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Amoebic liver abscess physical examination On the Web |
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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:[1][2][3]
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
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.[4][5]
- Epigastric mass if left lobe is involved
- Abdominal guarding or rebound tenderness
- Due to dullness on percussion, the movement on right side of the chest and abdomen is restricted
- Abdominal distension in advanced cases
- Absent bowel sounds
Extremities
Bilateral pedal edema in advanced liver disease
References
- ↑ https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017
- ↑ Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO (1999). "Common presentations of amebic liver abscess". Ann Emerg Med. 34 (3): 351–5. PMID 10459092.
- ↑ Wiwanitkit V (2002). "A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients". BMC Fam Pract. 3: 13. PMC 122079. PMID 12149132.
- ↑ 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.