Portal vein thrombosis physical examination: Difference between revisions
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*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Splenomegaly]] | *[[Splenomegaly]] | ||
*Hepatomegaly | *[[Hepatomegaly]] | ||
*Right upper quadrant epigastric tenderness | *Right upper quadrant epigastric tenderness | ||
*Signs of [[ascites]] ([[Fluid wave test|fluid wave]]) | *Signs of [[ascites]] ([[Fluid wave test|fluid wave]]) | ||
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===Skin=== | ===Skin=== | ||
*[[Palmar erythema]] | *[[Palmar erythema]] | ||
*Spider angiomata | *[[Spider angiomata]] | ||
*Caput medusae | *[[Caput medusae]] | ||
==References== | ==References== | ||
Revision as of 14:50, 19 December 2017
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Portal vein thrombosis Microchapters |
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Portal vein thrombosis physical examination On the Web |
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Risk calculators and risk factors for Portal vein thrombosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Patients with portal vein thrombosis usually appear ill. Common physical examination findings of portal vein thrombosis include abdominal pain or distention, splenomegaly and signs of ascites.
Physical Examination
- Physical examination of patients with [disease name] is usually remarkable for: abdominal pain or distention, splenomegaly and signs of ascites.
Appearance of the Patient
Vital Signs
- Fever
- Bradycardia may be present
Skin
HEENT
- Icteric sclera
Abdomen
- Abdominal pain
- Abdominal distention
- Splenomegaly
- Hepatomegaly
- Right upper quadrant epigastric tenderness
- Signs of ascites (fluid wave)
- Guarding is rare, seen in case of intra-abdominal inflammation, intestinal infarction, and perforation
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Glasgow coma scale is 15/15
Skin
References
- ↑ Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A (2010). "Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment". World J. Gastroenterol. 16 (2): 143–55. PMC 2806552. PMID 20066733.
- ↑ Parikh, Sameer; Shah, Riddhi; Kapoor, Prashant (2010). "Portal Vein Thrombosis". The American Journal of Medicine. 123 (2): 111–119. doi:10.1016/j.amjmed.2009.05.023. ISSN 0002-9343.
- ↑ DeLeve LD, Valla DC, Garcia-Tsao G (2009). "Vascular disorders of the liver". Hepatology. 49 (5): 1729–64. doi:10.1002/hep.22772. PMID 19399912.
- ↑ Primignani M (2010). "Portal vein thrombosis, revisited". Dig Liver Dis. 42 (3): 163–70. doi:10.1016/j.dld.2009.08.003. PMID 19766546.