Wilson's disease physical examination: Difference between revisions

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Revision as of 02:28, 26 December 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Patients with Wilson's disease mostly appear tired due to the hepatic involvement.

Parkinsonism like signs such as:
- Bradykinesia
- Cogwheel rigidity
- Lack of balance
Seizures
Migrane
Frontal lobe disorder with the following signs:
- Impaired judgement
- Apathy
- Poor planning
Psychiatric features such as:
- Depression
- Psychosis
- Anxiety

@@ Line 3: / Line 3: @@
 {{CMG}}; {{AE}} {{AEL}}
 ==Overview==
 ==Physical examination==
+=== Appearance of the patient ===
+* Patients with Wilson's disease mostly appear tired due to the hepatic involvement.
+=== Vitals ===
+* [[Low blood pressure]] may be present in shock [[liver]].
+* [[Hypothermia]] / [[hyperthermia]] may be present.
+=== Skin ===
+* Jaundice
+* Easy bruising (bleeding tendency)
+=== HEENT ===
+* Icteric sclera
+* Kayser Fleischer ring in the eyes
+=== Abdomen ===
+* Abdominal tenderness
+* Hepatosplenomegaly
+* Ascites
+* Spider angiomata (in cases with cirrhosis)
+* Esophageal varices
+=== Heart ===
+* Cardiomyopathy
+* Cardiac arrhythmia
+=== Neuromuscular ===
+* Parkinsonism like signs such as:
+** Bradykinesia
+** Cogwheel rigidity
+** Lack of balance
+* Seizures
+* Migrane
+* Frontal lobe disorder with the following signs:
+** Impaired judgement
+** Apathy
+** Poor planning
+* Psychiatric features such as:
+** Depression
+** Psychosis
+** Anxiety
 ==References==
 {{reflist|2}}