Autoimmune hepatitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: :Manpreet Kaur, MD [2]

Physical Examination

• Physical examination of patients with Autoimmune hepatitis is usually remarkable for:
• Jaundice
• Hepatomegaly
• Spider angiomata.

Appearance of the Patient

• Patients with Autoimmune hepatitis usually appear normal.

Skin

• Jaundice
• Spider angiomata

• Description (Adapted from Dermatology Atlas)

  Description (Adapted from Dermatology Atlas)

• 

  Description (Adapted from Dermatology Atlas)

HEENT

• Hirsutism
• Icteric sclera
• Acne

Neck

• Jugular venous distension
• Carotid bruits may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
• Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
• Thyromegaly / thyroid nodules
• Hepatojugular reflux

Abdomen

• Abdominal distention(Ascites)
• Hepatomegaly
• splenomegaly

Neuromuscular

• Patient present with hepatic encephalopathy
• Patient is disoriented to persons, place, and time
• Altered mental status